# DR JOSEPH CLIFTON BROOME PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003991787
- **Authorized official:** MR. JOSEPH CLIFTON BROOME M.D. (PRESIDENT)
- **Authorized official phone:** (405) 787-4915

## Contact information

- **Practice address:** 7530 NW 23RD ST, BETHANY, OK 73008-4942
- **Practice address phone:** (405) 787-4915
- **Practice address fax:** (405) 787-6303
- **Mailing address:** RR 1 BOX 122B, CASHION, OK 73016-9731
- **Mailing address phone:** (405) 433-5607
- **Mailing address fax:** (877) 463-3813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 23006 | OK | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 05/10/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200068070A | — | OK |
