Provider Demographics
NPI:1972516326
Name:JOSON, ARTURO DUNGCA (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:DUNGCA
Last Name:JOSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 MAPLE SUMMIT RD
Mailing Address - Street 2:P.O. BOX 408
Mailing Address - City:JERSEYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62052-2004
Mailing Address - Country:US
Mailing Address - Phone:618-498-2032
Mailing Address - Fax:618-498-1076
Practice Address - Street 1:270 MAPLE SUMMIT RD
Practice Address - Street 2:MC DOW MEMORIAL CLINIC
Practice Address - City:JERSEYVILLE
Practice Address - State:IL
Practice Address - Zip Code:62052-2004
Practice Address - Country:US
Practice Address - Phone:618-498-2032
Practice Address - Fax:618-498-1076
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILA11105Medicare UPIN
IL232430Medicare ID - Type Unspecified