Provider Demographics
NPI:1477194488
Name:JOE SPEER, MD, LLC
Entity type:Organization
Organization Name:JOE SPEER, MD, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:B
Authorized Official - Last Name:SPEER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-550-4446
Mailing Address - Street 1:2950 S ELM PL STE 225
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-7825
Mailing Address - Country:US
Mailing Address - Phone:918-550-4446
Mailing Address - Fax:918-550-8069
Practice Address - Street 1:2950 S ELM PL STE 225
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-7825
Practice Address - Country:US
Practice Address - Phone:918-550-4446
Practice Address - Fax:918-550-8069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty