Brandon Alan Teague

NPI #1922713775 in Grove, Oklahoma

Provider Information

NPI Number: 1922713775
Entity Type: Individual
Name: Brandon Alan Teague
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 17, 2023
Last Updated: Jan 17, 2023

Practice Location

Address: 32300 S 625 RD
City: Grove
State: Oklahoma
ZIP Code: 74344-6285
Phone: (918) 786-2930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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