Dustin Lee Parks

NPI #1205645074 in Muskogee, Oklahoma

Provider Information

NPI Number: 1205645074
Entity Type: Individual
Name: Dustin Lee Parks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jan 6, 2025
Last Updated: Jan 6, 2025

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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