| Dr Julie Shibata Fall, MD | |
|
1308 W 4th St, Gillette, WY 82716-3330 | |
| (307) 687-1300 | |
| (307) 682-1309 |
| Full Name | Dr Julie Shibata Fall |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 1308 W 4th St, Gillette, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306959267 | NPI | - | NPPES |
| 302313 | Other | WY | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 3686A (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Julie Shibata Fall, MD 1308 W 4th St, Gillette, WY 82716-3330 Ph: (307) 687-1300 | Dr Julie Shibata Fall, MD 1308 W 4th St, Gillette, WY 82716-3330 Ph: (307) 687-1300 |
Dr. Judith M Boyle, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1000 | |
Dr. Linda Kamil Abujaber-ammari, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1300 W 4th St, Gillette, WY 82716 Phone: 307-686-4900 Fax: 307-682-3466 | |
Inara Aila Mcmaster, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 W Lakeway Rd Ste 800, Gillette, WY 82718 Phone: 307-387-9850 Fax: 307-487-8880 | |
Natasha W Maremma, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-3636 | |
Dr. David Robert Fall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1308 W 4th St, Gillette, WY 82716 Phone: 307-687-1300 Fax: 307-682-1309 | |
Dr. Brahmananda Kiran Koduri, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1534 |