Provider Demographics
NPI:1144253071
Name:ALLGEIER, JOSEPH DAVID (DO)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DAVID
Last Name:ALLGEIER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 W SPARROW DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-5172
Mailing Address - Country:US
Mailing Address - Phone:480-917-4815
Mailing Address - Fax:480-963-2654
Practice Address - Street 1:3930 S ALMA SCHOOL RD STE 8
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-4510
Practice Address - Country:US
Practice Address - Phone:480-917-4815
Practice Address - Fax:480-963-2654
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ005838207N00000X, 207Q00000X
FLOS 7045207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ707265Medicaid
FL264275100Medicaid
FLG47162Medicare UPIN