Individual
JULIE A DAVINSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13660 N 94TH DR, STE C, PEORIA, AZ 85381-4836
(623) 977-2400
(623) 977-7036
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 972-9590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2485
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882870
—
AZ
Enumeration date
06/07/2006
Last updated
07/09/2007
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