Healthcare Provider Details

I. General information

NPI: 1699465229
Provider Name (Legal Business Name): JULIE ALVAREZ DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3042 W QUEEN CREEK RD
CHANDLER AZ
85248-2815
US

IV. Provider business mailing address

PO BOX 115
SACATON AZ
85147-0002
US

V. Phone/Fax

Practice location:
  • Phone: 520-796-2600
  • Fax: 602-528-1255
Mailing address:
  • Phone: 520-796-2600
  • Fax: 602-528-1296

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 TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number012559
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: