Johnathan Culver

NPI #1245983881 in Vinita, Oklahoma

Provider Information

NPI Number: 1245983881
Entity Type: Individual
Name: Johnathan Culver
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Recovery Care
Enumeration Date: Feb 3, 2022
Last Updated: Feb 3, 2022

Practice Location

Address: 405 E EXCELSIOR AVE
City: Vinita
State: Oklahoma
ZIP Code: 74301-4226
Phone: (918) 256-6476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Recovery Care — Recovery Care	261QR0800X	Primary

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