Individual
JULIA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3200 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2255
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10600
AZ
363AS0400X
Surgical Physician Assistant
1069
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170305
—
AZ
05
—
210756
—
AL
01
—
PA1069
PA LICENSE
AL
Enumeration date
10/02/2015
Last updated
08/08/2025
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