Individual
MISS JULIE JACLYN BROWNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, RD
Contact information
Practice address
750 N ESTRELLA PKWY, STE 40, GOODYEAR, AZ 85338-9272
(623) 889-3477
(623) 889-3478
Mailing address
PO BOX 5204, GOODYEAR, AZ 85338-0603
(623) 889-3477
(623) 889-3478
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4591
AZ
363AM0700X
Medical Physician Assistant
Primary
4591
AZ
363AS0400X
Surgical Physician Assistant
4591
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790592
—
AZ
Enumeration date
01/08/2010
Last updated
08/13/2014
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