Most Relevant Information
Provider Data
| NPI Number: | 1003402041 |
| Provider Name: | MARIAH PEYTON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/14/2020 |
| Last Updated: | 12/14/2020 |
Provider Practice Location
6100 S WALKER AVE
OKLAHOMA CITY
OK
731397026
Practice Location Phone/Fax
| Phone: | 3236178529 |
| Fax: |
Provider Mailing Location
19501 N PENNSYLVANIA AVE APT 413
EDMOND
OK
730124806
Provider Mailing Phone/Fax
| Phone: | 3236178529 |
| Fax: |