Dr JUSTIN T EHMKE is a male medical professional, specializing in Physician Assistant. He graduated in 2007.
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
21772 S ELLSWORTH LOOP RD
QUEEN CREEK
AZ
851427709
Tel: 4805123700
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 | |
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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 | |
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Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
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