Provider Demographics
NPI:1467475491
Name:SPEER, JOE B (MD)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:B
Last Name:SPEER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6565 S YALE AVE STE 706
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-8308
Mailing Address - Country:US
Mailing Address - Phone:918-491-5767
Mailing Address - Fax:918-752-0204
Practice Address - Street 1:6565 S YALE AVE STE 706
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-8308
Practice Address - Country:US
Practice Address - Phone:918-491-5767
Practice Address - Fax:918-491-5771
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2019-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK177102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKF07626Medicare UPIN