Individual
MR. EDWIN SELDON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 585-5545
Mailing address
21 CROSSWAY, SCARSDALE, NY 10583-7157
(914) 960-5932
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0000000
OK
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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