Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | MD170730 | OR |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD2004-0500 | NM |
NPI | 1033116298 |
---|---|
Provider Name | Dr. Julie A Muche |
First Address | Albuquerque, NM 87106-2719 |
Second Address | Albuquerque, NM 87106-2719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2005 |
Last Update Date | 20/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
500684326 | (05) | OR |