Provider Demographics
NPI:1326036757
Name:SALMON, JULIA V (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:V
Last Name:SALMON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40365
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85717-0365
Mailing Address - Country:US
Mailing Address - Phone:520-622-4594
Mailing Address - Fax:520-629-9397
Practice Address - Street 1:1701 W SAINT MARYS RD
Practice Address - Street 2:SUITE 114
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2621
Practice Address - Country:US
Practice Address - Phone:520-622-4594
Practice Address - Fax:520-629-9397
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-10
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ23000174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ309965Medicaid
AZ309965Medicaid
AZG02683Medicare UPIN