Casey Puckett

NPI #1053905489 in Muskogee, Oklahoma

Provider Information

NPI Number: 1053905489
Entity Type: Individual
Name: Casey Puckett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Feb 25, 2021
Last Updated: Feb 25, 2021

Practice Location

Address: 619 N MAIN ST
City: Muskogee
State: Oklahoma
ZIP Code: 74401-4431
Phone: (918) 682-8407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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