Organization
PAVILION BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DZAIDI DAUD (CEO/PRESIDENT)
(479) 353-2368
Entity
Organization
Contact information
Practice address
99855 HIGHWAY 82, VIAN, OK 74962-6073
(479) 353-2368
Mailing address
99855 HIGHWAY 82, VIAN, OK 74962-6073
(479) 353-2368
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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