Individual
CHRIS PEAVLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 NW 32ND ST, OKLAHOMA CITY, OK 73112-7655
(405) 945-0489
Mailing address
2640 NW 32ND ST, OKLAHOMA CITY, OK 73112-7655
(405) 945-0489
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1124416615
OK
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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