MR. Willie-Ed Cody Tapedo I

NPI #1316614894 in Anadarko, Oklahoma

Provider Information

NPI Number: 1316614894
Entity Type: Individual
Name: MR. Willie-Ed Cody Tapedo I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 24, 2021
Last Updated: Sep 15, 2022

Practice Location

Address: 423 N 1ST ST
City: Anadarko
State: Oklahoma
ZIP Code: 73005-2111
Phone: (405) 247-2428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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