James Shull

NPI #1912724303 in Commerce, Oklahoma

Provider Information

NPI Number: 1912724303
Entity Type: Individual
Name: James Shull
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Sep 25, 2024
Last Updated: Sep 25, 2024

Practice Location

Address: 304 N MICKEY MANTLE BLVD
City: Commerce
State: Oklahoma
ZIP Code: 74339-1110
Phone: (918) 253-6548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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