MEDICARE: DR. JOYCE N RATNER D.P.M.

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	0356	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316990344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOYCE N RATNER D.P.M.

Provider Business Mailing Address
First Line	:	4350 N 19TH AVE
Second Line	:	SUITE 3
City	:	PHOENIX
State	:	AZ
Zip	:	85015-4602
Country	:	US
Telephone Number	:	602-279-4975
Fax Number	:	602-279-1108

Provider Business Practice Location Address
First Line	:	4350 N 19TH AVE
Second Line	:	SUITE 3
City	:	PHOENIX
State	:	AZ
Zip	:	85015-4602
Country	:	US
Telephone Number	:	602-279-4975
Fax Number	:	602-279-1108

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	06/17/2020

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