Individual
JASON CHARLES JOICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 NE 1ST ST, PRYOR, OK 74361-8850
(918) 824-6407
(918) 824-6408
Mailing address
1301 NE 1ST ST, PRYOR, OK 74361-8850
(918) 824-6407
(918) 824-6408
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23052
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200039950A
—
OK
05
—
200209580A
—
OK
01
—
DE3229
GROUP RR MEDICARE
OK
01
—
P00807082
RR MEDICARE
OK
Enumeration date
06/14/2007
Last updated
10/12/2011
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