NPI 1831730142

Justin Anthony Conkling

Practitioner Peer Specialist Newalla, OK

Practice location

Address: 18101 Se44th Street, Newalla, OK 74857
Phone: (405) 651-1879

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in Oklahoma →

Registry record

NPI: 1831730142
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Oct 2019
Record last updated: 8 Oct 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.