Provider Demographics
NPI:1083740070
Name:ASCH, JULIE D (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:D
Last Name:ASCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7381 BUCKBOARD DR
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84098-5310
Mailing Address - Country:US
Mailing Address - Phone:435-658-0336
Mailing Address - Fax:
Practice Address - Street 1:E8 LDS HOSPITAL
Practice Address - Street 2:8TH AVENUE AND C STREET
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84143-0001
Practice Address - Country:US
Practice Address - Phone:801-408-3729
Practice Address - Fax:801-408-8453
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT4991679-12052080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTD4198Medicaid
UT93795OtherPEHP UCS
UT4991679-1205OtherSTATE LICENSE
UT107009706106OtherSELECT HEALTH
UT302934OtherALTIUS
UT302934OtherALTIUS
UTD4198Medicaid
UT000060189Medicare PIN