Provider Demographics
NPI:1174593750
Name:JOE, CYNTHIA A (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:A
Last Name:JOE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2925 DEBARR RD
Mailing Address - Street 2:ALASKA VA HEALTHCARE SYSTEM (11)
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-2983
Mailing Address - Country:US
Mailing Address - Phone:907-257-5460
Mailing Address - Fax:907-257-6774
Practice Address - Street 1:2925 DEBARR RD
Practice Address - Street 2:ALASKA VA HEALTHCARE SYSTEM (11)
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2983
Practice Address - Country:US
Practice Address - Phone:907-257-5460
Practice Address - Fax:907-257-6774
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARC-5973207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine