Provider Demographics
NPI:1487614681
Name:SCHLOMER, JULIE DP (PA-C)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:DP
Last Name:SCHLOMER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35850 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:DESERT HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-7426
Mailing Address - Country:US
Mailing Address - Phone:623-780-2125
Mailing Address - Fax:
Practice Address - Street 1:26224 N TATUM BLVD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-7500
Practice Address - Country:US
Practice Address - Phone:480-663-9632
Practice Address - Fax:480-419-6782
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1639363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1639OtherAZ PA LICENSE
AZF64539Medicare UPIN
AZ1639OtherAZ PA LICENSE