Dallas Thompson

NPI #1073486742 in Tahlequah, Oklahoma

Provider Information

NPI Number
1073486742
Entity Type
Individual
Name
Dallas Thompson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Peer Specialist
Enumeration Date
Sep 27, 2025
Last Updated
Sep 27, 2025

Practice Location

Address
1007 S. MUSKOGEE ST.
ZIP Code
74464
Phone
(417) 635-4304

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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