MEDICARE: DR. DEBORAH JOULE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	3421	AZ
2	207Q00000X	Family Medicine Physician	OS-006532L	PA
3	207Q00000X	Family Medicine Physician	OS-5581	FL

General Provider Information

NPI Number	:	1710114459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH JOULE D.O.

Provider Business Mailing Address
First Line	:	8987 E TANQUE VERDE RD
Second Line	:	STE 309-136
City	:	TUCSON
State	:	AZ
Zip	:	85749-9610
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8987 E TANQUE VERDE RD
Second Line	:	STE 309-136
City	:	TUCSON
State	:	AZ
Zip	:	85749-9610
Country	:	US
Telephone Number	:	520-886-0848
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2009
Last Update Date	:	04/04/2011

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