NPI 1861459224

Diane Elizabeth Juillard, DO

Practitioner Family Medicine Physician Wickenburg, AZ

Practice location

Address: 490 W Bralliar Rd, Wickenburg, AZ 85390-2448
Phone: (928) 684-2874
Fax: (928) 684-3151
Mailing address: PO Box 2479, Wickenburg, AZ 85358-2479

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2240 (AZ)

Other Family Medicine providers in Arizona →

Registry record

NPI: 1861459224
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Apr 2006
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.