Doctor Name: | DR. JULIAN ANTHONY TERRY |
NPI Number: | 1518178938 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | E-6983 |
Business Practice Address: | 4507 Willow Creek Drive Suite 100 Johnson, AR - 727410523 |
Business Phone Number: | 4795214433 |
Business Fax Number: | |
Mailing Address: | 4507 Willow Creek Drive, Suite 100 SPRINGDALE |
State: | AR |
Postal Code: | 727620523 |
Phone Number: | 4795214433 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2007 |
NPI Last Update Date: | 11/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | E-6983 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |