Individual
DR. JOYCELIN F CANAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1125 ASPIRA CT, MANSFIELD, OH 44906-4125
(419) 756-2122
(419) 756-3530
Mailing address
1125 ASPIRA CT, MANSFIELD, OH 44906-4125
(419) 756-2122
(419) 756-3530
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
0437169
KS
2085R0001X
Radiation Oncology Physician
Primary
129748
OH
2085R0001X
Radiation Oncology Physician
2014008708
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366852824
—
MO
05
—
201096380B
—
KS
05
—
201096380C
—
KS
Enumeration date
05/05/2014
Last updated
01/19/2017
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