Provider Demographics
NPI:1083633424
Name:MEYER, JOEL R (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:R
Last Name:MEYER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:BANNER MD ANDERSON CANCER CENTER
Mailing Address - Street 2:2940 E. BANNER GATEWAY DRIVE SUITE 350
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234
Mailing Address - Country:US
Mailing Address - Phone:480-256-6444
Mailing Address - Fax:480-256-3682
Practice Address - Street 1:BANNER MD ANDERSON CANCER CENTER
Practice Address - Street 2:2940 E. BANNER GATEWAY DRIVE SUITE 350
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234
Practice Address - Country:US
Practice Address - Phone:480-256-6444
Practice Address - Fax:480-256-3682
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2019-10-01
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Provider Licenses
StateLicense IDTaxonomies
IL0360844262085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILE61939Medicare UPIN