Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 54051 | AZ |
N | 2080P0204X | Pediatric Emergency Doctor | 60478026 | WA |
NPI | 1225328750 |
---|---|
Provider Name | Dr. Julie A Augenstein |
First Address | Phoenix, AZ 85018-2327 |
Second Address | Phoenix, AZ 85016-7710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2011 |
Last Update Date | 17/03/2018 |