Basic Information
| Provider Information | |||||||||
| NPI: | 1083740070 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ASCH | ||||||||
| FirstName: | JULIE | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7381 BUCKBOARD DR | ||||||||
| Address2: | |||||||||
| City: | PARK CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840985310 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4356580336 | ||||||||
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| Practice Location | |||||||||
| Address1: | E8 LDS HOSPITAL | ||||||||
| Address2: | 8TH AVENUE AND C STREET | ||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841430001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8014083729 | ||||||||
| FaxNumber: | 8014088453 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2007 | ||||||||
| LastUpdateDate: | 11/10/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0207X | 4991679-1205 | UT | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Hematology-Oncology |
ID Information
| ID | Type | State | Issuer | Description | D4198 | 05 | UT | MEDICAID | 93795 | 01 | UT | PEHP UCS | OTHER | 4991679-1205 | 01 | UT | STATE LICENSE | OTHER | BA2589654 | 01 | DEA | OTHER | 107009706106 | 01 | UT | SELECT HEALTH | OTHER | 302934 | 01 | UT | ALTIUS | OTHER |