SearchOklahoma171M00000X

Benjamin Costley

NPI 1326535402 · on the registry since 2018

Practice

Address
111 S Treaty Rd
Miami, OK 74354
Phone
(918) 542-7374
Organisation at this address
Glmhc Pharmacy Llc
Grand Lake Mental Health
Grand Lake Mental Health Center Inc
Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
171

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2018-04-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma