Individual
DEREK MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3111B N. BROADWAY ST., BOX 34, POTEAU, OK 74953
(918) 647-2262
Mailing address
23370 CANNERY RD, SPIRO, OK 74959-3796
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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