Provider Demographics
NPI:1568799690
Name:GEORGE, JULIE L (NMD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:L
Last Name:GEORGE
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 S GRAND BLVD STE 101N
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-2200
Mailing Address - Country:US
Mailing Address - Phone:509-919-1385
Mailing Address - Fax:
Practice Address - Street 1:1403 S GRAND BLVD STE 101N
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-2200
Practice Address - Country:US
Practice Address - Phone:509-919-1385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60767969175F00000X
AZ09-1157175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath