Provider Demographics
NPI:1356640759
Name:BABCOCK, EMILY DEHN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:DEHN
Last Name:BABCOCK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7301 E 2ND ST
Mailing Address - Street 2:SUITE 315
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5600
Mailing Address - Country:US
Mailing Address - Phone:480-947-7711
Mailing Address - Fax:480-994-8530
Practice Address - Street 1:7301 E 2ND ST
Practice Address - Street 2:SUITE 315
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5600
Practice Address - Country:US
Practice Address - Phone:480-947-7711
Practice Address - Fax:480-994-8530
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ4639363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical