MEDICARE: JOYCE ELLEN HONOROF M.D.

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	207R00000X	Internal Medicine Physician	85739	AZ

General Provider Information

NPI Number	:	1376511196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE ELLEN HONOROF M.D.

Provider Business Mailing Address
First Line	:	63701 E SADDLEBROOKE BLVD
Second Line	:	SUITE F
City	:	TUCSON
State	:	AZ
Zip	:	85739-1273
Country	:	US
Telephone Number	:	520-818-0300
Fax Number	:	520-818-2508

Provider Business Practice Location Address
First Line	:	63701 E SADDLEBROOKE BLVD
Second Line	:	SUITE F
City	:	TUCSON
State	:	AZ
Zip	:	85739-1273
Country	:	US
Telephone Number	:	520-818-0300
Fax Number	:	520-818-2508

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

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	07/08/2007

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