Doctor Name: | JULIE ANN WHEELER |
NPI Number: | 1285931279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | IDC |
License Number: | |
Business Practice Address: | 22190 Avenue E 1st Medical Battalion, Clr-15, 1st Mlg, Marforpac Camp Pendleton, CA - 920555657 |
Business Phone Number: | 7607254912 |
Business Fax Number: | |
Mailing Address: | Po Box 555657, 1st Medical Battalion, Clr-15, 1st Mlg, Marforpac CAMP PENDLETON |
State: | CA |
Postal Code: | 920555657 |
Phone Number: | 7607254912 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2011 |
NPI Last Update Date: | 02/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |