Individual
ALEXANDER CORRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(918) 402-7364
Mailing address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(479) 295-3892
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
03/25/2022
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