Provider Demographics
NPI:1417952789
Name:BRILL, JOEL VICTOR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:VICTOR
Last Name:BRILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3639 E DENTON LN
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-7508
Mailing Address - Country:US
Mailing Address - Phone:602-418-8744
Mailing Address - Fax:480-452-0424
Practice Address - Street 1:3639 E DENTON LN
Practice Address - Street 2:
Practice Address - City:PARADISE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85253-7508
Practice Address - Country:US
Practice Address - Phone:602-418-8744
Practice Address - Fax:480-452-0424
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ25553207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZA49771Medicare UPIN