# JOSEPH D PARKHURST MD PC

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

## Provider details

- **NPI number:** 1720479371
- **Authorized official:** DR. JOSEPH D PARKHURST MD (PHYSICIAN OWNER)
- **Authorized official phone:** (405) 495-6134

## Contact information

- **Practice address:** 9220 S PENNSYLVANIA AVE STE B, OKLAHOMA CITY, OK 73159-6909
- **Practice address phone:** (405) 692-1331
- **Mailing address:** 2349 N THOMPKINS AVE, BETHANY, OK 73008-5307
- **Mailing address phone:** (405) 495-6134
- **Mailing address fax:** (405) 787-8466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 11526 | OK | Yes |

## Other

- **Enumeration date:** 02/17/2015
- **Last updated:** 07/20/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11526 | STATE LICENSE | OK |
| 05 | — | 200588080B | — | OK |
