Micki Tyner

NPI #1275401481 in Durant, Oklahoma

Provider Information

NPI Number: 1275401481
Entity Type: Individual
Name: Micki Tyner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 28, 2025
Last Updated: Oct 28, 2025

Practice Location

Address: 698 WESTSIDE DR
City: Durant
State: Oklahoma
ZIP Code: 74701-3084
Phone: (580) 924-7333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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