Daniel Mallotte West
Peer Specialist in Pawhuska, OK. Individual provider (NPI-1).
NPI number1124894589
StatusActive
Last updated in NPPESNov 28, 2023
Details
- NPI
- 1124894589
- Entity type
- Individual (NPI-1)
- Name
- Daniel Mallotte West
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 28, 2023
- Certification date
- Nov 28, 2023
- Last updated
- Nov 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
100 W Main St Fl 4Pawhuska, OK 74056-4149
Phone 918-287-5413 · Fax 918-287-5234
Mailing address
100 W Main St Fl 4Pawhuska, OK 74056-4149
Phone 918-287-5413 · Fax 918-287-5234
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All 29 Peer Specialist providers in Pawhuska · All 196 providers in Pawhuska
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