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NPI Code Detail

MEDICARE: MR. JOSEPH J. PICCIONE PA-C

MEDICARE: MR. JOSEPH J. PICCIONE PA-C
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
1363AM0700XMedical Physician Assistant1126OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11126OTHEROKOKLAHOMA MEDICAL LICENSE
243130OTHEROKOBNDD

General Provider Information

NPI Number : 1841231495
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH J. PICCIONE PA-C
Provider Business Mailing Address
First Line : 7301 E 93RD PL
Second Line :
City : TULSA
State : OK
Zip : 74133-5463
Country : US
Telephone Number : 918-488-8948
Fax Number :
Provider Business Practice Location Address
First Line : 1541 N SHERIDAN RD
Second Line :
City : TULSA
State : OK
Zip : 74115-4610
Country : US
Telephone Number : 918-838-3510
Fax Number : 800-398-2067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 03/07/2023

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