Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 432291 | PA |
Y | 111NI0900X | Internist | 432291 | PA |
N | 207RA0401X | Internist - Addiction Medicine | 432291 | PA |
N | 207RH0002X | Hospice and Palliative Medicine | 432291 | PA |
NPI | 1508963026 |
---|---|
Provider Name | Julie Wilson Childers |
First Address | Pittsburgh, PA 15213-2536 |
Second Address | Pittsburgh, PA 15213-2536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2006 |
Last Update Date | 28/09/2020 |