Individual
WILLIAM W DAVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4150 SE ADAMS RD, BARTLESVILLE, OK 74104-8410
(918) 331-9979
(918) 331-2346
Mailing address
4150 SE ADAMS RD, BARTLESVILLE, OK 74006
(918) 331-9979
(918) 331-2346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3185
OK
207QA0000X
Adolescent Medicine (Family Medicine) Physician
27912
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112210C
—
OK
05
—
100112210D
—
OK
Enumeration date
09/13/2005
Last updated
01/15/2014
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