# DR. JUSTIN P JOSEPH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639592181
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 6005 | OK | — |
| 207Q00000X | Family Medicine Physician | 280771 | NY | — |
| 207QA0505X | Adult Medicine Physician | 6005 | OK | — |
| 207QA0505X | Adult Medicine Physician | S8324 | TX | Yes |

## Other

- **Enumeration date:** 02/03/2014
- **Last updated:** 03/05/2024