Organization
MAYANK DAVE MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYANK DAVE (OWNER)
(580) 678-7050
Entity
Organization
Contact information
Practice address
5606 SW LEE BLVD STE 202, LAWTON, OK 73505-9689
(580) 678-7050
Mailing address
5606 SW LEE BLVD STE 202, LAWTON, OK 73505-9689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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