Provider Demographics
NPI:1609020072
Name:ROTHGERY, JULIA ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:ANNE
Last Name:ROTHGERY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 N 2000 W
Mailing Address - Street 2:
Mailing Address - City:FARR WEST
Mailing Address - State:UT
Mailing Address - Zip Code:84404-9219
Mailing Address - Country:US
Mailing Address - Phone:801-731-1222
Mailing Address - Fax:
Practice Address - Street 1:2850 N 2000 W
Practice Address - Street 2:
Practice Address - City:FARR WEST
Practice Address - State:UT
Practice Address - Zip Code:84404-9219
Practice Address - Country:US
Practice Address - Phone:801-731-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-11
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7151959-1205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine