Individual provider · NPI-1

Dr. Joaquin Mauricio Forbes, M.D.

Family Medicine · Atoka, OK

NPI number1285863878
StatusActive
Last updated in NPPESSep 17, 2014

Details

NPI
1285863878
Entity type
Individual (NPI-1)
Name
Dr. Joaquin Mauricio Forbes
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 6, 2009
Last updated
Sep 17, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA121432CAYes
207Q00000X Family Medicine30475OK

Practice location

1201 W Liberty Rd
Atoka, OK 74525-1639

Phone 580-889-1981 · Fax 580-889-4009

Mailing address

698 Westside Dr Ste 110
Durant, OK 74701-3085

Phone 580-931-3636 · Fax 580-931-9016

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