Basic Information
| Provider Information | |||||||||
| NPI: | 1487650925 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STRONG | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | STEVEN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2121 N BEVERLY AVE | ||||||||
| Address2: | STE 105 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857122154 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5203276265 | ||||||||
| FaxNumber: | 5203279300 | ||||||||
| Practice Location | |||||||||
| Address1: | 2121 N BEVERLY AVE | ||||||||
| Address2: | STE 105 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857122154 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5203276265 | ||||||||
| FaxNumber: | 5203279300 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2005 | ||||||||
| LastUpdateDate: | 11/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | 6070 | AZ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
ID Information
| ID | Type | State | Issuer | Description | 246381 | 05 | AZ | MEDICAID | 1Z2970 | 01 | HEALTH NET INSURANCE | OTHER | AZ0005970 | 01 | BC/BS OF ARIZON | OTHER |