Provider Demographics
NPI:1578568671
Name:GUYTON, JOSEPH THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:THOMAS
Last Name:GUYTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4820 E BROADWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3610
Mailing Address - Country:US
Mailing Address - Phone:520-325-5495
Mailing Address - Fax:520-325-5496
Practice Address - Street 1:4820 E BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-3610
Practice Address - Country:US
Practice Address - Phone:520-325-5495
Practice Address - Fax:520-325-5496
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1Z5359OtherHEALTHNET
AZJG1007575OtherASHN
AZAZ0245260OtherBLUE CROSS BLUE SHIELD
AZJG1007575OtherASHN