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Individual

JASON CHARLES JOICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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