Individual
JOSHUA DAVID SERVANTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5401 N PORTLAND AVE STE 600, OKLAHOMA CITY, OK 73112-2090
(405) 604-8485
Mailing address
5401 N PORTLAND AVE STE 600, OKLAHOMA CITY, OK 73112-2090
(405) 604-8485
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5715
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
09/26/2024
Last updated
05/06/2026
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