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Organization
STANTON H. JOE, M.D., A PROFESSIONAL CORPORATION
Active
Organization
STANTON H. JOE, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANTON HENRY JOE M.D. (RADIOLOGIST)
(818) 790-9300
Entity
Organization
Contact information
Practice address
1300 S CENTRAL AVE, GLENDALE, CA 91204-2506
(818) 790-9300
(818) 790-9300
Mailing address
1809 VERDUGO BLVD, SUITE 100, GLENDALE, CA 91208-1402
(818) 790-9300
(818) 790-4564
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
G22870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G228720
—
CA
05
—
00G228721
—
CA
Enumeration date
10/20/2006
Last updated
02/02/2018
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