MEDICARE: JULIA V SALMON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	23000	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922125996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JULIA V SALMON

Provider Business Mailing Address
First Line	:	PO BOX 40365
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85717-0365
Country	:	US
Telephone Number	:	520-623-2244
Fax Number	:	520-792-2152

Provider Business Practice Location Address
First Line	:	1773 W SAINT MARYS RD
Second Line	:	SUITE 202
City	:	TUCSON
State	:	AZ
Zip	:	85745-2654
Country	:	US
Telephone Number	:	520-623-2244
Fax Number	:	520-792-2152

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	JULIA V SALMON
Credential	:	MD
Telephone Number	:	520-623-2244

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	04/02/2012

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