Most Relevant Information
Provider Data
| NPI Number: | 1003071630 |
| Provider Name: | MICAH ROBERT BARKER |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/23/2008 |
| Last Updated: | 04/14/2017 |
Provider Practice Location
1231 E DEWEY AVE
SAPULPA
OK
740663607
Practice Location Phone/Fax
| Phone: | 9182276800 |
| Fax: |
Provider Mailing Location
1231 E DEWEY AVE
SAPULPA
OK
740663607
Provider Mailing Phone/Fax
| Phone: | 9182276800 |
| Fax: |