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NPI Code Detail

MEDICARE: BRIAN JOACHIMS MD

MEDICARE: BRIAN JOACHIMS MD
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
1207Q00000XFamily Medicine Physician21562OK

General Provider Information

NPI Number : 1619954682
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN JOACHIMS MD
Provider Business Mailing Address
First Line : 1921 STONECIPHER DR
Second Line :
City : ADA
State : OK
Zip : 74820-3439
Country : US
Telephone Number : 580-436-3980
Fax Number :
Provider Business Practice Location Address
First Line : 1438 HARDCASTLE BLVD
Second Line :
City : PURCELL
State : OK
Zip : 73080-8233
Country : US
Telephone Number : 405-527-4700
Fax Number : 580-272-5711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 04/30/2021

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Directions to “ BRIAN JOACHIMS MD” Practice Location

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