Individual
GARY PEITZMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2129 SW 59TH ST, OKLAHOMA CITY, OK 73119-7024
(405) 772-4148
Mailing address
16009 KATIE RIDGE DR, EDMOND, OK 73013-1498
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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