Provider Demographics
NPI:1295996346
Name:DEGLER, JULIA (MD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:DEGLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 E BOYD AVE
Mailing Address - Street 2:SUITE #120
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-2834
Mailing Address - Country:US
Mailing Address - Phone:317-462-3441
Mailing Address - Fax:317-462-5476
Practice Address - Street 1:300 E BOYD AVE
Practice Address - Street 2:SUITE #120
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-2834
Practice Address - Country:US
Practice Address - Phone:317-462-3441
Practice Address - Fax:317-462-5476
Is Sole Proprietor?:No
Enumeration Date:2008-06-21
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01067844A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine