Individual
MARK W JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD210371
OR
2080P0210X
Pediatric Nephrology Physician
25446
AZ
2080P0210X
Pediatric Nephrology Physician
Primary
MD210371
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
395245
—
AZ
Enumeration date
04/06/2006
Last updated
08/01/2022
Update your record
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