Provider Demographics
NPI:1407895170
Name:JOYCE, WILLIAM JR (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:JOYCE
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 W NURSERY ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:MO
Mailing Address - Zip Code:64730-1840
Mailing Address - Country:US
Mailing Address - Phone:660-200-7134
Mailing Address - Fax:660-200-2371
Practice Address - Street 1:615 W NURSERY ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:MO
Practice Address - Zip Code:64730-1840
Practice Address - Country:US
Practice Address - Phone:660-200-7134
Practice Address - Fax:660-200-2371
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000165893208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1999140OtherUNITED HEALTHCARE
MO466747OtherFAMILY HEALTH PARTNERS
MO245106315Medicaid
MO37710014OtherBLUE CROSS BLUE SHIELD
MO603000Medicare Oscar/Certification
230A710Medicare ID - Type Unspecified
MO603A710Medicare PIN
MO245106315Medicaid
MO603000Medicare PIN