John Willis

NPI #1487488219 in Miami, Oklahoma

Provider Information

NPI Number: 1487488219
Entity Type: Individual
Name: John Willis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 26, 2024
Last Updated: Aug 26, 2024

Practice Location

Address: 130 W STEVE OWENS BLVD
City: Miami
State: Oklahoma
ZIP Code: 74354-7629
Phone: (918) 542-2845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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