Provider Demographics
NPI:1467879072
Name:BEAUMONT, JULIE (PA (ASCP))
Entity Type:Individual
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First Name:JULIE
Middle Name:
Last Name:BEAUMONT
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Gender:F
Credentials:PA (ASCP)
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Mailing Address - Street 1:9250 N 3RD ST
Mailing Address - Street 2:SUITE 4000
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2437
Mailing Address - Country:US
Mailing Address - Phone:602-633-3800
Mailing Address - Fax:602-861-3500
Practice Address - Street 1:9250 N 3RD ST
Practice Address - Street 2:SUITE 4000
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2437
Practice Address - Country:US
Practice Address - Phone:602-633-3800
Practice Address - Fax:602-861-3500
Is Sole Proprietor?:No
Enumeration Date:2014-03-20
Last Update Date:2014-03-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant