Individual
MICHAEL N PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2905 S HARR DR STE 102, MIDWEST CITY, OK 73110-3049
(405) 455-2193
Mailing address
2905 S HARR DR STE 102, MIDWEST CITY, OK 73110-3049
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200092660A
—
OK
Enumeration date
04/14/2010
Last updated
04/14/2010
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