Spencer Cheyenne Bakke

NPI #1316775745 in Pryor, Oklahoma

Provider Information

NPI Number: 1316775745
Entity Type: Individual
Name: Spencer Cheyenne Bakke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jul 25, 2024
Last Updated: Jul 25, 2024

Practice Location

Address: 1622 S 4275
City: Pryor
State: Oklahoma
ZIP Code: 74361-7827
Phone: (918) 373-5788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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