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Contact Information

JULIANNE A IVY, MD
167 NORTH MAIN STREET
TUBA CITY, AZ86045
 Phone: 928-283-2679
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JULIANNE A IVY · (Female)

NPI Number 1073173597
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2019
Last updated 09/27/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2019018901
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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