Individual
DURWARD E DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7031 S JOPLIN AVE APT 605, TULSA, OK 74136-3529
(918) 902-0394
Mailing address
7031 S JOPLIN AVE APT 605, TULSA, OK 74136-3529
(918) 902-0394
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
OK
Enumeration date
06/10/2013
Last updated
06/10/2013
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