Provider Demographics
NPI:1669530937
Name:ENGLE, JUNE ANNETTE (MD)
Entity type:Individual
Prefix:DR
First Name:JUNE
Middle Name:ANNETTE
Last Name:ENGLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3201 DANVILLE BLVD
Mailing Address - Street 2:#155
Mailing Address - City:ALAMO
Mailing Address - State:CA
Mailing Address - Zip Code:94507
Mailing Address - Country:US
Mailing Address - Phone:925-831-1324
Mailing Address - Fax:925-831-9832
Practice Address - Street 1:3201 DANVILLE BLVD
Practice Address - Street 2:#155
Practice Address - City:ALAMO
Practice Address - State:CA
Practice Address - Zip Code:94507
Practice Address - Country:US
Practice Address - Phone:925-831-1324
Practice Address - Fax:925-831-9832
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG53636170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics
Provider Identifiers
StateIdentifier IDID TypeIssuer
A89965Medicare UPIN