Individual
MINA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2502 W ELK AVE, DUNCAN, OK 73533-1562
(580) 252-9600
Mailing address
2502 W ELK AVE, DUNCAN, OK 73533-1562
(580) 252-9600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6991
OK
Other
Enumeration date
06/10/2017
Last updated
07/17/2020
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