JUSTIN T EHMKE

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC

Dr JUSTIN T EHMKE is a male medical professional, specializing in Physician Assistant. He graduated in 2007.

Contact

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC

21772 S ELLSWORTH LOOP RD
QUEEN CREEK
AZ
851427709

Tel: 4805123700

JUSTIN T EHMKE Information

Npi 1639366321
Pac Id 8426139338
Professional Enrollment Id I20141030001773
Last Name EHMKE
First Name JUSTIN
Middle Name T
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2007
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Group Practice Pac Id 6406020155
Number Of Group Practice Members 146
Line 1 Street Address 21772 S ELLSWORTH LOOP RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City QUEEN CREEK
State AZ
Zip Code 851427709
Phone Number 4805123700
Hospital Affiliation Ccn 1 030088
Hospital Affiliation Lbn 1 BANNER BAYWOOD MEDICAL CENTER
Hospital Affiliation Ccn 2 030122
Hospital Affiliation Lbn 2 BANNER GATEWAY MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

Do you know JUSTIN T EHMKE?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.