Individual
DR. JUSTIN B PLAXICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
435 N MONTE VISTA ST, ADA, OK 74820-4676
(580) 310-0102
(580) 310-0104
Mailing address
435 N MONTE VISTA ST, ADA, OK 74820-4676
(580) 310-0102
(580) 310-0104
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3875
OK
Other
Enumeration date
06/30/2006
Last updated
08/11/2022
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