Sammy Stach Valid NPI
Individual provider · Peer Specialist · Wagoner, OK
- NPI
- 1689301772
- Type
- Individual (Type 1)
- Primary specialty
- Peer Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 175T00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-08-08
- Last updated
- 2022-08-08
Practice location
1101 Sw 24th St
Wagoner, OK 74467-8691
(918) 680-2902