Doctor Name: | NANCY W DEVER |
NPI Number: | 1306827886 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 11175 |
Business Practice Address: | 2222 W Iowa Ave Chickasha, OK - 730182738 |
Business Phone Number: | 4052248111 |
Business Fax Number: | |
Mailing Address: | 2222 W Iowa Ave, CHICKASHA |
State: | OK |
Postal Code: | 730182738 |
Phone Number: | 4052248111 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 02/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 11175 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |