NPI 1306959267

Julie Shibata Fall, MD

Practitioner Pediatric Adolescent Medicine Physician Gillette, WY

Practice location

Address: 1308 W 4th St, Gillette, WY 82716-3330
Phone: (307) 687-1300
Fax: (307) 682-1309

Registered specialties

Pediatric Adolescent Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence 3686A (WY)

Other Pediatrics providers in Wyoming →

Registry record

NPI: 1306959267
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Aug 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.