Doctor Name: | JULIAN W PROCTOR |
NPI Number: | 1427029842 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD038141L |
Business Practice Address: | 1600 Coraopolis Heights Rd Moon Township, PA - 151084316 |
Business Phone Number: | 4126042020 |
Business Fax Number: | 4126042046 |
Mailing Address: | 2 Hot Metal St, Quantum One, N431 PITTSBURGH |
State: | PA |
Postal Code: | 152032348 |
Phone Number: | 4124325806 |
Fax Number: | 4124327691 |
NPI Enumeration Date: | 02/01/2006 |
NPI Last Update Date: | 04/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0203X |
License Number: | MD038141L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Therapeutic Radiology |
Taxonomy Definition: |