Individual
CODY FRECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMIN, MDIV, BCC
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2689
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2689
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
56221
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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