Provider Demographics
NPI:1588697270
Name:JULIA F. GRANONE, DPM, PC
Entity type:Organization
Organization Name:JULIA F. GRANONE, DPM, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:GRANONE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:520-625-1604
Mailing Address - Street 1:450 W CONTINENTAL RD
Mailing Address - Street 2:
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85622-3551
Mailing Address - Country:US
Mailing Address - Phone:520-625-1604
Mailing Address - Fax:520-625-6011
Practice Address - Street 1:450 W CONTINENTAL RD
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85622-3551
Practice Address - Country:US
Practice Address - Phone:520-625-1604
Practice Address - Fax:520-625-6011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ167213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ0000SFBFKMedicare PIN
AZT41669Medicare UPIN