Individual provider · Type 1 NPI

Charles Dewayne Poor, CCP

Specialist · Oklahoma City, OK

NPI number 1851402606 Active

Practice location

3601 N May Ave, Suite C
Oklahoma City, OK 73112-6641

Call (405) 604-5613 Map

Fax (405) 601-3750

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XLP 24 (OK)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1851402606

Charles Dewayne Poor, CCP's National Provider Identifier is 1851402606, issued on Aug 31, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 8, 2007.