Individual
JESSE STEPHENS JULIAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 FOUNDERS POINTE TRAIL, CARROLLTON, VA 23314
(757) 238-2178
Mailing address
506 FOUNDERS POINTE TRAIL, CARROLLTON, VA 23314
(757) 238-2178
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
D41813
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D41813
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
765081700
—
MD
Enumeration date
02/14/2006
Last updated
11/25/2009
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