Individual
DR. DAVID LEWIS HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1920 N BROADWAY AVE, SHAWNEE, OK 74804-3722
(405) 273-7879
(405) 273-7885
Mailing address
1920 N BROADWAY AVE, SHAWNEE, OK 74804-3722
(405) 924-0938
(405) 703-5639
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18911
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100164890A
—
OK
Enumeration date
04/06/2006
Last updated
04/26/2017
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