Healthcare Provider Details

I. General information

NPI: 1174461495
Provider Name (Legal Business Name): JULIA TOMLINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 VERONA RD
DAYTON OH
45417-1234
US

IV. Provider business mailing address

721 VERONA RD
DAYTON OH
45417-1234
US

V. Phone/Fax

Practice location:
  • Phone: 614-966-6935
  • Fax:
Mailing address:
  • Phone: 614-966-6935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberUQ194586
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: