Provider Demographics
NPI:1861171779
Name:GUYNES, JOSHUA DUANE
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:DUANE
Last Name:GUYNES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 S GUTHRIE AVE
Mailing Address - Street 2:
Mailing Address - City:COWETA
Mailing Address - State:OK
Mailing Address - Zip Code:74429-4008
Mailing Address - Country:US
Mailing Address - Phone:918-606-1887
Mailing Address - Fax:
Practice Address - Street 1:426 S GUTHRIE AVE
Practice Address - Street 2:
Practice Address - City:COWETA
Practice Address - State:OK
Practice Address - Zip Code:74429-4008
Practice Address - Country:US
Practice Address - Phone:918-606-1887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator