Christopher Bewan
Peer Specialist in Miami, OK. Individual provider (NPI-1).
NPI number1124855432
StatusActive
Last updated in NPPESSep 19, 2024
Details
- NPI
- 1124855432
- Entity type
- Individual (NPI-1)
- Name
- Christopher Bewan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2024
- Certification date
- Sep 19, 2024
- Last updated
- Sep 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
130 W Steve Owens BlvdMiami, OK 74354-7629
Phone 918-675-4100 · Fax 918-675-4615
Mailing address
304 N Mickey Mantle BlvdCommerce, OK 74339-1110
Phone 918-675-4100 · Fax 918-675-4615
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