IndividualActive
Blake Bigeagle
NPI 1073226817 · Peer Specialist · Vinita, OK
Provider details
- NPI number
- 1073226817
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
405 E Excelsior Ave
Vinita, OK 74301-4226
Phone: (918) 559-9957
Approximate (ZIP-level) locationGet directions
Mailing address
405 E Excelsior Ave
Vinita, OK 74301-4226
Registry dates
- Enumerated
- 2022-12-26
- Last updated
- 2022-12-26
- Certified
- 2022-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.