Provider Demographics
NPI:1851493845
Name:CEIMO, JOANNE MARY (MD)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:MARY
Last Name:CEIMO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:10411 N 48TH PL
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-1034
Mailing Address - Country:US
Mailing Address - Phone:480-998-9264
Mailing Address - Fax:623-875-6504
Practice Address - Street 1:10515 W SANTA FE DR
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3020
Practice Address - Country:US
Practice Address - Phone:623-875-6500
Practice Address - Fax:623-875-6504
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZAZ12793207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZC99253Medicare UPIN