Individual
DR. RAFAEL JUSTIZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4117 NW 122ND ST STE C, OKLAHOMA CITY, OK 73120
(405) 463-3380
(405) 463-5732
Mailing address
PO BOX 268953, OKLAHOMA CITY, OK 73126-8953
(405) 463-3380
(405) 635-7324
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
27480
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200109590A
—
OK
Enumeration date
07/31/2006
Last updated
06/13/2023
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