Doctor Name: | DR. JULIO MIGUEL ARRIETA |
NPI Number: | 1003178856 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 183107 |
Business Practice Address: | Wake Forest Babtist Medical Ctr Medical Center Blvd Winston Salem, NC - 271570001 |
Business Phone Number: | 3367164195 |
Business Fax Number: | |
Mailing Address: | Wake Forest Babtist Medical Ctr, Medical Center Blvd WINSTON SALEM |
State: | NC |
Postal Code: | 271570001 |
Phone Number: | 3367164195 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2012 |
NPI Last Update Date: | 05/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 183107 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |