Individual
JOSHUA WISDOM DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8901 MURIEL WAY, SPENCER, OK 73084-3531
(405) 361-1824
Mailing address
8901 MURIEL WAY, SPENCER, OK 73084-3531
(405) 361-1824
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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