Healthcare Provider Details

I. General information

NPI: 1629429030
Provider Name (Legal Business Name): JULIA DOI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2016
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1831 E QUEEN CREEK RD
CHANDLER AZ
85286-2019
US

IV. Provider business mailing address

1831 E QUEEN CREEK RD
CHANDLER AZ
85286-2019
US

V. Phone/Fax

Practice location:
  • Phone: 480-917-2300
  • Fax: 480-917-5400
Mailing address:
  • Phone: 480-216-4395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE5581
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE5581
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPOD001025
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: