Most Relevant Information
Provider Data
| NPI Number: | 1003302365 |
| Provider Name: | JULIE BEVERIDGE |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT005282 |
Most Important Dates
| Enumeration Date: | 07/10/2018 |
| Last Updated: | 07/10/2018 |
Provider Practice Location
PO BOX 1360
HUNTINGTON
WV
257151360
Practice Location Phone/Fax
| Phone: | 3046968823 |
| Fax: |
Provider Mailing Location
2268 N 2975 E
LAYTON
UT
840407600
Provider Mailing Phone/Fax
| Phone: | 8018959435 |
| Fax: |