Brett Adam Bayless Valid NPI
Individual provider · Peer Specialist · Pryor, OK
- NPI
- 1538832506
- Type
- Individual (Type 1)
- Primary specialty
- Peer Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 175T00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-07-27
- Last updated
- 2021-07-27
Practice location
205 S Adair St
Pryor, OK 74361-5201
(918) 825-4872