Healthcare Provider Details

I. General information

NPI: 1164623856
Provider Name (Legal Business Name): JULIA DAWSON ALLAN PA -C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 04/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 LINCOLN AVE
PITTSBURGH PA
15202-3631
US

IV. Provider business mailing address

446 LINCOLN AVE
PITTSBURGH PA
15202-3631
US

V. Phone/Fax

Practice location:
  • Phone: 412-761-1190
  • Fax: 412-761-0525
Mailing address:
  • Phone: 412-761-1190
  • Fax: 412-761-0525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA052906
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: