Abraham Colson Bearpaw

NPI #1972201622 in Wagoner, Oklahoma

Provider Information

NPI Number: 1972201622
Entity Type: Individual
Name: Abraham Colson Bearpaw
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Feb 22, 2023
Last Updated: Feb 22, 2023

Practice Location

Address: 902 MARTIN LUTHER KING BLVD
City: Wagoner
State: Oklahoma
ZIP Code: 74467-6928
Phone: (918) 316-8180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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