Anthony Dirteater
Anthony Dirteater is a Peer Specialist in Tahlequah, Oklahoma. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
113 W Keetoowah StTahlequah, OK 74464-3819
Phone: (918) 931-3700
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1265202659 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 5, 2024 |
| Last updated in NPPES | January 5, 2024 |
| Certification date | January 5, 2024 |
| Mailing address | 113 W Keetoowah St, Tahlequah, OK 74464-3819 |
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