Provider Demographics
NPI:1982107702
Name:JULIANO, JOSEPH DOMINIC (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DOMINIC
Last Name:JULIANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7470 N ORACLE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-4441
Mailing Address - Country:US
Mailing Address - Phone:520-886-2597
Mailing Address - Fax:520-886-6639
Practice Address - Street 1:7470 N ORACLE RD STE 100
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4441
Practice Address - Country:US
Practice Address - Phone:520-886-2597
Practice Address - Fax:520-886-6639
Is Sole Proprietor?:No
Enumeration Date:2018-03-18
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301506610207W00000X
390200000X
AZ71637207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program