Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Julie Conyers MD Inc

Organization Surgery Physician · NPI 1730436007

Julie Conyers MD Inc is a Surgery Physician in Mount Shasta, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

635 Lassen Ln
Mount Shasta, CA 96067-9003
Phone: (530) 926-5211
Fax: (530) 926-5740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence G89174 (CA)

Record details

NPI number1730436007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Conyers — President · (530) 926-5211
NPI enumeratedAugust 6, 2012
Last updated in NPPESNovember 5, 2012
Mailing address635 Lassen Ln, Mount Shasta, CA 96067-9003

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