Individual
IAN ALLEN ECHO HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
335588 E 750 RD, PERKINS, OK 74059-3268
(405) 547-2402
Mailing address
335588 E 750 RD, PERKINS, OK 74059-3268
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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