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Mina Joseph, DO

Pediatrics in Duncan, OK. Individual provider (NPI-1).

NPI number1336678564
StatusActive
Last updated in NPPESJul 17, 2020

Details

NPI
1336678564
Entity type
Individual (NPI-1)
Name
Mina Joseph
Credential
DO
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 10, 2017
Certification date
Jul 17, 2020
Last updated
Jul 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics6991OKYes

Practice location

2502 W Elk Ave
Duncan, OK 73533-1562

Phone 580-252-9600

Mailing address

2502 W Elk Ave
Duncan, OK 73533-1562

Phone 580-252-9600

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