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Ryan Anderson

Peer Specialist in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1255042016
StatusActive
Last updated in NPPESDec 12, 2022

Details

NPI
1255042016
Entity type
Individual (NPI-1)
Name
Ryan Anderson
Sex
Male
Sole proprietor
No
Enumeration date
Dec 12, 2022
Certification date
Dec 12, 2022
Last updated
Dec 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

6100 S Walker Ave
Oklahoma City, OK 73139-7026

Phone 405-634-4400

Mailing address

6100 S Walker Ave
Oklahoma City, OK 73139-7026

Phone 405-634-4400

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