Doctor Name: | DR. DONALD WESLEY DAVIES |
NPI Number: | 1730214578 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 20556 |
Business Practice Address: | 430 N Monte Vista St Ada, OK - 748204610 |
Business Phone Number: | 5803326040 |
Business Fax Number: | |
Mailing Address: | 311 S 14th Pl, ADA |
State: | OK |
Postal Code: | 748207135 |
Phone Number: | 5803109827 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 20556 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |