Julia Grace Head M.D.

NPI 1629204292 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1629204292
Gender Female
Enumeration Date 06/09/2009
Last Updated 11/21/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
10100 SE SUNNYSIDE RD
MT TALBERT MEDICAL OFFICES
CLACKAMAS OR, 97015-8970, US
Phone (734) 834-3836
Fax
Business Location
10100 SE SUNNYSIDE RD
MT TALBERT MEDICAL OFFICES
CLACKAMAS OR, 97015-8970, US
Phone (734) 834-3836
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Massachusetts
License Number 256263
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According to our database, Dr. Julia Grace Head M.D. NPI is 1629204292, taxonomy code is 207V00000X and license number is 256263, license state is located at Massachusetts. Julia Grace Head M.D. physically located at 10100 Se Sunnyside Rd, Clackamas OR, 97015-8970. NPI Number Julia Grace Head M.D. has the Individual type.

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1629204292 NPI number is provided on an as is basis without warranty of any kind. 1629204292 is maintained by the National Plan & Provider Enumeration System. The contents of Julia Grace Head M.D. are for informational purposes only.