Organization
WILLIAM S, DAVIES, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DAVIES MD (PRESIDENT, OWNER)
(580) 357-2304
Entity
Organization
Contact information
Practice address
1302 N, W, LAKE AVE,, LAWTON, OK 73507
(580) 357-2304
Mailing address
1302 N, W, LAKE AVE,, LAWTON, OK 73507
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
8641
OK
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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