Individual
JOSEPH CLARK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11511 RED ROCK RD, OKLAHOMA CITY, OK 73120-5318
(414) 758-0591
Mailing address
11511 RED ROCK RD, OKLAHOMA CITY, OK 73120-5318
(414) 758-0591
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02002087A
IN
207P00000X
Emergency Medicine Physician
036-102964
IL
207P00000X
Emergency Medicine Physician
45459
WI
207R00000X
Internal Medicine Physician
Primary
5495
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43506300
—
WI
Enumeration date
07/17/2006
Last updated
03/18/2021
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