Provider Demographics
NPI:1679193296
Name:KAM, JUSTIN JOSEPH (PA)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:JOSEPH
Last Name:KAM
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:4432 N MILLER RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3697
Mailing Address - Country:US
Mailing Address - Phone:480-306-7227
Mailing Address - Fax:
Practice Address - Street 1:3916 STATE ST STE 300B
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-5602
Practice Address - Country:US
Practice Address - Phone:805-681-8901
Practice Address - Fax:805-569-7730
Is Sole Proprietor?:No
Enumeration Date:2020-04-23
Last Update Date:2023-07-18
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant