Joel Jason Kraft MD

NPI 1629365572 - Family Medicine - 207Q00000X

NPI Details
NPI 1629365572
Gender Male
Enumeration Date 06/29/2011
Last Updated 02/03/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
601 E 13TH ST
SUITE G
GROVE OK, 74344-2989, US
Phone (918) 786-9009
Fax
Business Location
5300 N INDEPENDENCE AVE
280
OKLAHOMA CITY OK, 73112-5556, US
Phone (918) 786-9009
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 28499
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According to our database, Dr. Joel Jason Kraft MD NPI is 1629365572, taxonomy code is 207Q00000X and license number is 28499, license state is located at Oklahoma. Joel Jason Kraft MD physically located at 601 E 13th St, Grove OK, 74344-2989. NPI Number Joel Jason Kraft MD has the Individual type.

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1629365572 NPI number is provided on an as is basis without warranty of any kind. 1629365572 is maintained by the National Plan & Provider Enumeration System. The contents of Joel Jason Kraft MD are for informational purposes only.