Provider Demographics
NPI:1700855178
Name:FALK, JOEL ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:ALAN
Last Name:FALK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:201 W GUADALUPE RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-3332
Mailing Address - Country:US
Mailing Address - Phone:480-813-0944
Mailing Address - Fax:480-813-0038
Practice Address - Street 1:201 W GUADALUPE RD
Practice Address - Street 2:SUITE 310
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-3332
Practice Address - Country:US
Practice Address - Phone:480-813-0944
Practice Address - Fax:480-813-0038
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ27031207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ2316715OtherAETNA
AZ441014Medicaid
AZAZ0874950OtherBLUE CROSS BLUE SHIELD
AZ100712OtherPACIFICARE
AZ0700459OtherUNITED HEALTHCARE
AZ1Z4001OtherHEALTHNET
AZ4532301OtherCIGNA
AZ441014Medicaid
AZ1Z4001OtherHEALTHNET