MEDICARE: DR. JULIAN NOCHE M.D.

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1255696530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIAN NOCHE M.D.

Provider Business Mailing Address
First Line	:	2146 BELCOURT AVE.
Second Line	:	VMG BUSINESS OFFICE
City	:	NASHVILLE
State	:	TN
Zip	:	37212
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2220 PIERCE AVENUE
Second Line	:	383 PRESTON RESEARCH BUILDING
City	:	NASHVILLE
State	:	TN
Zip	:	37232-6300
Country	:	US
Telephone Number	:	615-936-1713
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2012
Last Update Date	:	07/12/2012

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