Individual provider · Type 1 NPI

Julie Shibata Fall, MD

Pediatric Adolescent Medicine Physician · Gillette, WY

NPI number 1306959267 Active

Practice location

1308 W 4th St
Gillette, WY 82716-3330

Fax (307) 682-1309

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X3686A (WY)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

4 other providers at this address

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About NPI 1306959267

Julie Shibata Fall, MD's National Provider Identifier is 1306959267, issued on Aug 16, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Gillette, WY. The record was last updated on Jul 9, 2007.