Doctor Name: | DR. CHRIS JOAS |
NPI Number: | 1497735435 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0101236818 |
Business Practice Address: | Bldg 3005, Sr 108 Dewert Branch Health Clinic, Mcmwtc Bridgeport, CA - 93517 |
Business Phone Number: | 7609321616 |
Business Fax Number: | 7609321623 |
Mailing Address: | Bldg 3005, Sr 108, Dewert Branch Health Clinic BRIDGEPORT |
State: | CA |
Postal Code: | 93517 |
Phone Number: | 7609321616 |
Fax Number: | 7609321623 |
NPI Enumeration Date: | 01/17/2006 |
NPI Last Update Date: | 04/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101236818 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |