Dustin Michael Burgess

NPI #1225847437 in Afton, Oklahoma

Provider Information

NPI Number: 1225847437
Entity Type: Individual
Name: Dustin Michael Burgess
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jan 2, 2025
Last Updated: Jan 2, 2025

Practice Location

Address: 27201 S HIGHWAY 125 UNIT 19
City: Afton
State: Oklahoma
ZIP Code: 74331-3146
Phone: (918) 325-9631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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