MR. WILLIE-ED TAPEDO I

Peer Specialist

Active Individual
NPI: 1316614894

Practice Address

423 N 1ST ST
Anadarko, OK 73005

Phone: (405) 247-2428

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1316614894 is the National Provider Identifier for MR. WILLIE-ED TAPEDO I, a Peer Specialist provider located in Anadarko, OK. This NPI was enumerated on August 24, 2021.
MR. WILLIE-ED TAPEDO I practices at 423 N 1ST ST, Anadarko, OK 73005.

Quick Facts

NPI
1316614894
Type
Individual
Enumerated
Aug 24, 2021
Last Updated
Sep 15, 2022

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