Individual
IAN JAMES PEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 619-4400
Mailing address
8327 E 81ST ST APT 1417, TULSA, OK 74133-8049
(918) 803-9529
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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