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

Julia Thorn

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649615469

Julia Thorn is a Pediatric Medicine in Gallup, New Mexico. Qualified in 2009, 17 years ago. Works from 4 locations. Licensed in Maryland.

Years since qualifying
17
Licensed in
MD
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 733 N Broadway Suite 147, Baltimore, MD 21205-2109 — (410) 955-3080
  • 733 N Broadway Suite 147, Baltimore, MD 21205-2109 — (410) 955-3080
  • 900 Caton Ave Mb 081, Baltimore, MD 21229-2109 — (443) 703-3200

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence D83212 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649615469
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2013
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020
Mailing addressPo Box 1337, Gallup, NM 87305-1337

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Gallup