Organization
DIGESTIVE DISEASE SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL R. DAVIS (ADMINISTRATOR)
(405) 767-6630
Entity
Organization
Contact information
Practice address
5015 N PENNSYLVANIA AVE, STE. 303, OKLAHOMA CITY, OK 73112-8891
(405) 767-6630
(405) 767-1176
Mailing address
PO BOX 7316, EDMOND, OK 73083-7316
(405) 767-6630
(405) 767-1176
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
06/01/2006
Last updated
07/11/2007
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