Provider Demographics
NPI:1285737544
Name:JOYCE, DANIEL JUSTIN (DO)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JUSTIN
Last Name:JOYCE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1202 NW ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73507
Mailing Address - Country:US
Mailing Address - Phone:580-248-2288
Mailing Address - Fax:580-248-5348
Practice Address - Street 1:1202 NW ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73507
Practice Address - Country:US
Practice Address - Phone:580-248-2288
Practice Address - Fax:580-248-5348
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5094207Q00000X
IN02002918A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200459660AMedicaid
OK200459660AMedicaid