Individual
DAVID J JULIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 W 4TH ST, MT VERNON, IN 47620
(812) 838-2231
(812) 838-4628
Mailing address
1900 W 4TH ST, MT VERNON, IN 47620
(812) 838-2231
(812) 838-4628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61625379A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042339
BLUE CROSS
IN
05
—
100210120A
—
IN
Enumeration date
03/24/2006
Last updated
02/23/2010
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