Individual
GERALD E JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2001 CRADDUCK RD, ADA, OK 74820-9400
(405) 514-4786
(405) 758-5354
Mailing address
480 HICKORY HILL DR, CHOCTAW, OK 73020-7476
(405) 514-4786
(405) 758-5582
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0063042
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200035860B
—
OK
Enumeration date
08/12/2006
Last updated
08/13/2025
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