Individual
CHARLES WILLIAM WAUAHDOOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
423 N 1ST ST, ANADARKO, OK 73005-2111
(140) 524-7242
Mailing address
423 N 1ST ST, ANADARKO, OK 73005-2111
(140) 524-7242
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
OK
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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