Individual
ABDALLAH S DAWOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
304 S PARK LN, SUITE B, ALTUS, OK 73521-5753
(580) 379-6550
(580) 379-6559
Mailing address
304 S PARK LN, SUITE B, ALTUS, OK 73521-5753
(580) 379-6550
(580) 379-6559
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
24330
OK
207Q00000X
Family Medicine Physician
Primary
24330
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200053860A
—
OK
01
—
200053860B
SOONERCARE
OK
Enumeration date
09/20/2005
Last updated
12/01/2016
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