Dakota Alan Ingram

NPI #1104637321 in Atoka, Oklahoma

Provider Information

NPI Number: 1104637321
Entity Type: Individual
Name: Dakota Alan Ingram
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 16, 2025
Last Updated: Mar 24, 2025

Practice Location

Address: 1697 S GREATHOUSE DR
City: Atoka
State: Oklahoma
ZIP Code: 74525-3407
Phone: (580) 889-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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