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NPI Code Detail

MEDICARE: JOSHUA JAMAR MCGEE

MEDICARE: JOSHUA JAMAR MCGEE
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
1171W00000XContractor

General Provider Information

NPI Number : 1538413687
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA JAMAR MCGEE
Provider Business Mailing Address
First Line : 1917 S 82ND EAST AVE
Second Line :
City : TULSA
State : OK
Zip : 74112-7501
Country : US
Telephone Number : 580-284-4860
Fax Number :
Provider Business Practice Location Address
First Line : 1917 S 82ND EAST AVE
Second Line :
City : TULSA
State : OK
Zip : 74112-7501
Country : US
Telephone Number : 580-284-4860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2012
Last Update Date : 10/27/2012

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Directions to “ JOSHUA JAMAR MCGEE ” Practice Location

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