Provider Demographics
NPI:1841704715
Name:CHAVEZ, JULIA (PA)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5902 E PIMA ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-4322
Mailing Address - Country:US
Mailing Address - Phone:520-886-5315
Mailing Address - Fax:877-209-7377
Practice Address - Street 1:5902 E PIMA ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-4322
Practice Address - Country:US
Practice Address - Phone:520-886-5315
Practice Address - Fax:877-209-7377
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ11118363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant