Individual
MR. BILL DAVIS JOACHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-0501
(405) 297-5948
Mailing address
2482 COUNTY ROAD 1205, BLANCHARD, OK 73010-2804
(405) 270-0501
(405) 297-5948
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
242
OK
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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