NPI 1003375577

Allen Spooner Braumiller

Practitioner Peer Specialist Broken Arrow, OK

Practice location

Address: 100 S 79th St, Broken Arrow, OK 74014-2726
Phone: (405) 800-6303

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1003375577
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2019
Record last updated: 14 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.