Individual
JOSEPH BUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 S WHEELING AVE STE 600, TULSA, OK 74104-5635
(918) 634-7500
Mailing address
1802 E 19TH ST, TULSA, OK 74104-5403
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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