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NPI Code Detail

MEDICARE: DR. JOSEPH AARON QUEEN MD

MEDICARE: DR. JOSEPH AARON QUEEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician01100315AIN
2208M00000XHospitalist Physician4301513105MI

General Provider Information

NPI Number : 1366183972
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH AARON QUEEN MD
Provider Business Mailing Address
First Line : PO BOX 843603
Second Line :
City : DALLAS
State : TX
Zip : 75284-0001
Country : US
Telephone Number : 972-233-1999
Fax Number : 972-233-3666
Provider Business Practice Location Address
First Line : 6435 W JEFFERSON BLVD # 434
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-6203
Country : US
Telephone Number : 260-436-7875
Fax Number : 260-432-9812
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2022
Last Update Date : 06/01/2026

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Directions to “ DR. JOSEPH AARON QUEEN MD” Practice Location

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