Provider Demographics
NPI:1245495043
Name:EASON, JOSEPH BILL (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:BILL
Last Name:EASON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:H623 NEW HILLMAN BUILDING 619 19TH ST S
Mailing Address - Street 2:DEPARTMENT OF RADIOLOGY DIVISION OF VASCULAR & INTERVEN
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-0001
Mailing Address - Country:US
Mailing Address - Phone:205-975-4850
Mailing Address - Fax:205-975-5257
Practice Address - Street 1:H623 NEW HILLMAN BUILDING 619 19TH ST S
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY DIVISION OF VASCULAR & INTERVEN
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-0001
Practice Address - Country:US
Practice Address - Phone:205-975-4850
Practice Address - Fax:205-975-5257
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116021178390200000X
ALMD.324432085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program