Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | 34599 | AZ |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 45066 | CO |
NPI | 1073508966 |
---|---|
Provider Name | Dr. Julie Lynn Halling |
First Address | Colorado Springs, CO 80906-1097 |
Second Address | Colorado Springs, CO 80906-1097 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2005 |
Last Update Date | 10/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G94833 | (02) | KS |