Individual
JUSTIN EHMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
21321 E OCOTILLO RD STE 118, QUEEN CREEK, AZ 85242-5994
(480) 458-5135
(480) 458-5241
Mailing address
21321 E OCOTILLO RD STE 118, QUEEN CREEK, AZ 85242-5994
(480) 458-5135
(480) 458-5241
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3676
AZ
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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