Provider Demographics
NPI:1386746659
Name:GROVER, JULIE GLENN (MD, PC)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:GLENN
Last Name:GROVER
Suffix:
Gender:F
Credentials:MD, PC
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Mailing Address - Street 1:PO BOX 27128
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84127-0128
Mailing Address - Country:US
Mailing Address - Phone:801-357-7009
Mailing Address - Fax:
Practice Address - Street 1:395 W COUGAR BLVD STE 203
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-3328
Practice Address - Country:US
Practice Address - Phone:801-357-7009
Practice Address - Fax:801-357-8132
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT376454-1205207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTH81333Medicare UPIN
UT005718602Medicare ID - Type UnspecifiedMEDICARE-JULIE GLENN GROV