Individual
JOHN P JOYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 HIGHWAY 12, HETTINGER, ND 58639
(701) 567-4561
Mailing address
1100 HIGHWAY 12, HETTINGER, ND 58639-7533
(701) 567-6130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4267
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10776
ND BC/BS
—
01
—
123993
WORKER'S COMP
—
05
—
13691
—
ND
01
—
27276
SIOUX VALLEY
—
05
—
3018140
—
WA
05
—
45034068812
—
NE
01
—
4999832
WELMARCK
—
05
—
7776100
—
SD
Enumeration date
10/03/2006
Last updated
07/08/2007
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