Individual
JUSTIN MICHAEL BECKWITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.N. R.N.
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
Mailing address
RR 3 BOX 36, CLEVELAND, OK 74020-9503
(918) 510-5562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
93821
OK
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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