Individual provider · Type 1 NPI

Drew Breedlove

Student in an Organized Health Care Education/Training Program · Tahlequah, OK

NPI number 1629823323 Active

Practice location

1001 N Grand Ave
Tahlequah, OK 74464-7017

Mailing address

4824 W Dallas St
Broken Arrow, OK 74012-8718

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629823323

Drew Breedlove's National Provider Identifier is 1629823323, issued on Apr 17, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tahlequah, OK. The record was last updated on Apr 17, 2024.