Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | MD070387L | PA |
NPI | 1033244850 |
---|---|
Provider Name | Dr. Juel R. Nall |
First Address | Philadelphia, PA 19139-4115 |
Second Address | Philadelphia, PA 19139-4115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 26/04/2011 |