Individual
MR. JOSEPH J. PICCIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1541 N SHERIDAN RD, TULSA, OK 74115-4610
(918) 838-3510
(800) 398-2067
Mailing address
7301 E 93RD PL, TULSA, OK 74133-5463
(918) 488-8948
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1126
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1126
OKLAHOMA MEDICAL LICENSE
OK
01
—
43130
OBNDD
OK
Enumeration date
06/08/2006
Last updated
03/07/2023
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