Individual
MR. JUSTIN CHARLES BATT I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4733
(539) 995-9043
Mailing address
401 N BLISS AVE, TAHLEQUAH, OK 74464-2502
(539) 995-9043
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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