Individual
JOSHUA Z VICENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10901 E 48TH ST, TULSA, OK 74146-5830
(918) 749-8765
(918) 392-2155
Mailing address
10901 E 48TH ST, TULSA, OK 74146-5830
(918) 749-8765
(918) 392-2155
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5283
OK
390200000X
Student in an Organized Health Care Education/Training Program
5101018195
MI
Other
Enumeration date
07/10/2007
Last updated
07/05/2022
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