Individual
DR. DUSTIN WAYNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
Mailing address
1801 CHUKKA HINA, DURANT, OK 74701-7117
(580) 920-2100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7059
OK
208600000X
Surgery Physician
BP10055359
TX
Other
Enumeration date
06/14/2016
Last updated
12/23/2023
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