Search › Oklahoma › 363LF0000X
Justin Cole
NPI 1790211795 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3325 S 204th East Ave
Broken Arrow, OK 74014 - Phone
- (918) 955-1907
Additional practice sites
- 1232 Sw 89th St, Oklahoma City, OK
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma