Provider Demographics
NPI:1659359628
Name:HARDEMAN, JULIA (MD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:HARDEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3950 SOUTH COUNTRY CLUB SUITE 130
Mailing Address - Street 2:UAMC SOUTH CAMPUS FAMILY MEDICINE CLINIC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85714
Mailing Address - Country:US
Mailing Address - Phone:520-874-4800
Mailing Address - Fax:520-874-4824
Practice Address - Street 1:3950 SOUTH COUNTRY CLUB SUITE 130
Practice Address - Street 2:UAMC SOUTH CAMPUS FAMILY MEDICINE CLINIC
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85714
Practice Address - Country:US
Practice Address - Phone:520-874-4800
Practice Address - Fax:520-874-4824
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA35245207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0455337Medicaid