Organization
TOWN OF DAVENPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE BROMLEY (SECRETARY)
(918) 377-2235
Entity
Organization
Contact information
Practice address
214 BROADWAY, DAVENPORT, OK 74026-0279
(918) 377-2235
(580) 628-2267
Mailing address
PO BOX 279, DAVENPORT, OK 74026-0279
(918) 377-2235
(580) 628-2267
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
040
OK
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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