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Individual

DR. JOSEPH C BROOME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7530 NW 23RD ST, BETHANY, OK 73008-4921
(405) 787-4915
(405) 789-6303
Mailing address
7530 NW 23RD ST, BETHANY, OK 73008-4942
(405) 787-4915
(405) 789-6303

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23006
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23006
STATE MEDICAL LICENSE
OK
Enumeration date
01/31/2006
Last updated
07/21/2022
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