John Waldron

NPI #1417580465 in Beggs, Oklahoma

Provider Information

NPI Number: 1417580465
Entity Type: Individual
Name: John Waldron
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Feb 18, 2020
Last Updated: Feb 18, 2020

Practice Location

Address: 3815 HIGHWAY 75
City: Beggs
State: Oklahoma
ZIP Code: 74421-2367
Phone: (918) 845-1076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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