Most Relevant Information
Provider Data
| NPI Number: | 1003338591 |
| Provider Name: | JOSEPH BEACH MAPLE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/17/2017 |
| Last Updated: | 10/16/2018 |
Provider Practice Location
4400 N LINCOLN BLVD
OKLAHOMA CITY
OK
731055104
Practice Location Phone/Fax
| Phone: | 4054247711 |
| Fax: |
Provider Mailing Location
4400 N LINCOLN BLVD
OKLAHOMA CITY
OK
731055108
Provider Mailing Phone/Fax
| Phone: | 4054247711 |
| Fax: |