Individual provider · Type 1 NPI

Justin Andien Dang

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

NPI number 1720909104 Active

Practice location

870 E Crafton St
Tahlequah, OK 74464-3380

Call (918) 444-4000 Map

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 1720909104

Justin Andien Dang's National Provider Identifier is 1720909104, issued on Jul 22, 2026. 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 Jul 22, 2026.