Individual
MRS. JULIE ELLEN LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8360 E RAINTREE DR STE 105, SCOTTSDALE, AZ 85260-2677
(480) 766-3404
(602) 795-2445
Mailing address
PO BOX 308, QUEEN CREEK, AZ 85142-1806
(480) 718-5400
(877) 666-4624
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10272
MN
363A00000X
Physician Assistant
Primary
4629
AZ
Other
Enumeration date
08/05/2007
Last updated
01/29/2016
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