Healthcare Provider Details

I. General information

NPI: 1164723045
Provider Name (Legal Business Name): JULIE MARIE HARBO D.V.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2010
Last Update Date: 11/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 E THUNDERBIRD RD STE 59
PHOENIX AZ
85032-5642
US

IV. Provider business mailing address

3131 E THUNDERBIRD RD STE 59
PHOENIX AZ
85032-5642
US

V. Phone/Fax

Practice location:
  • Phone: 602-787-0015
  • Fax: 602-787-0505
Mailing address:
  • Phone: 602-787-0015
  • Fax: 602-787-0505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number4222
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: