Provider Demographics
NPI:1528039856
Name:MORTON, JOEL A (DO)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:A
Last Name:MORTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7219 N LITCHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LUKE AFB
Mailing Address - State:AZ
Mailing Address - Zip Code:85309-1529
Mailing Address - Country:US
Mailing Address - Phone:623-856-9321
Mailing Address - Fax:623-856-2777
Practice Address - Street 1:7219 N LITCHFIELD RD
Practice Address - Street 2:
Practice Address - City:LUKE AFB
Practice Address - State:AZ
Practice Address - Zip Code:85309-1529
Practice Address - Country:US
Practice Address - Phone:623-856-9321
Practice Address - Fax:623-856-2777
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ3490207QS0010X
AZAZ3490207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ154066Medicare PIN
AZG46900Medicare UPIN
AZZ104588Medicare PIN