Individual
JOHN MICHAEL TARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 GENERAL PERSHING BLVD APT 401, OKLAHOMA CITY, OK 73107-6430
(405) 200-5628
Mailing address
2400 GENERAL PERSHING BLVD APT 401, OKLAHOMA CITY, OK 73107-6430
(405) 200-5628
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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