Provider Demographics
NPI:1902924509
Name:ARENDS, JULIE CASPER (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:CASPER
Last Name:ARENDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:LYNN
Other - Last Name:CASPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5044 N BARTON AVE
Mailing Address - Street 2:M/S HC81
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93740-0001
Mailing Address - Country:US
Mailing Address - Phone:559-278-6734
Mailing Address - Fax:559-278-7602
Practice Address - Street 1:5044 N BARTON AVE
Practice Address - Street 2:M/S HC81
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93740-0001
Practice Address - Country:US
Practice Address - Phone:559-278-6734
Practice Address - Fax:559-278-7602
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA73891207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine