Individual
DR. JOSHUA J. LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2033 W HOUSTON ST, BROKEN ARROW, OK 74012-8304
(918) 743-3636
(918) 743-3663
Mailing address
2033 W HOUSTON ST, BROKEN ARROW, OK 74012-8304
(918) 743-3636
(918) 743-3663
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
4209
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200031520A
—
OK
Enumeration date
10/25/2005
Last updated
05/19/2014
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