Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 11211974-1205 | UT |
N | 2081P2900X | Pain Medicine | 11211974-1205 | UT |
NPI | 1194136036 |
---|---|
Provider Name | Dr. Andrew A Joyce |
First Address | Salt Lake City, UT 84108-1200 |
Second Address | Charlestown, MA 02129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2014 |
Last Update Date | 29/10/2021 |