Individual
JOSHUA KEITH FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14430 NS 3500, KONAWA, OK 74849-4901
(580) 925-2650
Mailing address
14430 NS 3500, KONAWA, OK 74849-4901
(405) 207-7477
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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