Healthcare Provider Details

I. General information

NPI: 1669179115
Provider Name (Legal Business Name): JOY DONCEVIC CSFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2023
Last Update Date: 02/14/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7469 E MONTE CRISTO AVE
SCOTTSDALE AZ
85260-1618
US

IV. Provider business mailing address

5805 W MICHELLE DR
GLENDALE AZ
85308-1243
US

V. Phone/Fax

Practice location:
  • Phone: 480-306-5390
  • Fax:
Mailing address:
  • Phone: 252-207-2184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: