Individual
SHAWN DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1202 NW ARLINGTON AVE, LAWTON, OK 73507-6537
(580) 248-2288
(580) 699-3316
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34811
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2019
Last updated
09/04/2024
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