Cole Daniel Thompson

NPI #1821701459 in Pryor, Oklahoma

Provider Information

NPI Number: 1821701459
Entity Type: Individual
Name: Cole Daniel Thompson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 28, 2022
Last Updated: Feb 1, 2023

Practice Location

Address: 109 N FAIRLAND ST.
City: Pryor
State: Oklahoma
ZIP Code: 74361-4203
Phone: (918) 825-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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