Provider Demographics
NPI:1376511196
Name:HONOROF, JOYCE ELLEN (MD)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:ELLEN
Last Name:HONOROF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63701 E SADDLEBROOKE BLVD
Mailing Address - Street 2:SUITE F
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85739-1273
Mailing Address - Country:US
Mailing Address - Phone:520-818-0300
Mailing Address - Fax:520-818-2508
Practice Address - Street 1:63701 E SADDLEBROOKE BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85739-1273
Practice Address - Country:US
Practice Address - Phone:520-818-0300
Practice Address - Fax:520-818-2508
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ85739207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZB14504Medicare UPIN