Provider Demographics
NPI:1467567834
Name:JOYNER, IRA THOMAS JR (MD)
Entity Type:Individual
Prefix:
First Name:IRA
Middle Name:THOMAS
Last Name:JOYNER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7501 HOSPITAL DR
Mailing Address - Street 2:SUITE 304
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5405
Mailing Address - Country:US
Mailing Address - Phone:901-423-2299
Mailing Address - Fax:916-689-7935
Practice Address - Street 1:5524 ASSEMBLY CT
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-2625
Practice Address - Country:US
Practice Address - Phone:916-801-1913
Practice Address - Fax:916-354-0582
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA30252207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology