Most Relevant Information
Provider Data
| NPI Number: | 1003442567 |
| Provider Name: | JEFFERY COE |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/17/2020 |
| Last Updated: | 03/17/2020 |
Provider Practice Location
619 N MAIN ST
MUSKOGEE
OK
744014431
Practice Location Phone/Fax
| Phone: | 9186828407 |
| Fax: |
Provider Mailing Location
619 N MAIN ST
MUSKOGEE
OK
744014431
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |