MEDICARE: JOSIE E DELMAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		OK

General Provider Information

NPI Number	:	1497626964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSIE E DELMAR

Provider Business Mailing Address
First Line	:	3629 S TOLEDO AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-2315
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3629 S TOLEDO AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-2315
Country	:	US
Telephone Number	:	918-500-6696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	09/16/2025

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Directions to “ JOSIE E DELMAR ” Practice Location

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