Individual
DR. JOSEPH E WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4415 S HARVARD AVE STE 125, TULSA, OK 74135-9700
(918) 748-8111
(918) 744-5284
Mailing address
2401 SOUTHWEST BLVD, TULSA, OK 74107-2726
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1308
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100055490A
—
OK
01
—
OKA1011602
MEDICARE
OK
Enumeration date
03/14/2006
Last updated
05/13/2020
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