Individual
MR. PAYDEN PAUL BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCMA
Contact information
Practice address
1429 JACK BROWN LANE, TAHLEQUAH, OK 74464
(918) 316-3000
Mailing address
1454 E ALLEN RD APT D-2, TAHLEQUAH, OK 74464-2185
(661) 623-6750
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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