Harry O Colbert III

NPI #1720618945 in Wagoner, Oklahoma

Provider Information

NPI Number: 1720618945
Entity Type: Individual
Name: Harry O Colbert III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jan 16, 2020
Last Updated: Jan 16, 2020

Practice Location

Address: 109 S HARRILL AVE
City: Wagoner
State: Oklahoma
ZIP Code: 74467-5317
Phone: (918) 485-0242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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