Individual
JULIA A SALAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
320 E NORTH AVE FL 3, PITTSBURGH, PA 15212-4756
(412) 359-3115
(412) 359-3165
Mailing address
320 E NORTH AVE FL 3, PITTSBURGH, PA 15212-4756
(412) 359-3115
(412) 359-3165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057945
PA
363AS0400X
Surgical Physician Assistant
MA057945
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103195580
—
PA
01
—
13658196
CAQH
—
Enumeration date
10/06/2015
Last updated
10/08/2020
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