Blake Alan Ardrey

NPI #1649948415 in Nowata, Oklahoma

Provider Information

NPI Number: 1649948415
Entity Type: Individual
Name: Blake Alan Ardrey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Sep 5, 2021
Last Updated: Sep 5, 2021

Practice Location

Address: 325 S ASH ST
City: Nowata
State: Oklahoma
ZIP Code: 74048-4628
Phone: (918) 706-6529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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