Healthcare Provider Details

I. General information

NPI: 1306996228
Provider Name (Legal Business Name): JOSEPH JAMES HESSEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 10/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2632 N 20TH ST
PHOENIX AZ
85006-1339
US

IV. Provider business mailing address

10030 N 25TH AVE STE 200 SUITE #4010
PHOENIX AZ
85021-1660
US

V. Phone/Fax

Practice location:
  • Phone: 602-266-2200
  • Fax: 602-604-6134
Mailing address:
  • Phone: 602-726-8805
  • Fax: 602-633-3841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number23091
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number23091
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: