Davis, Wiley G

Davis, Wiley G is an individual health care provider with primary practice located at 5002 Sw Lee Boulevard , Lawton OK 73505-8320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Davis, Wiley G can be contacted via phone (580) 531-4512.

Contact Information

Primary practice address
5002 Sw Lee Boulevard Lawton OK 73505-8320
Phone: (580) 531-4512
Fax: (580) 531-4519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 12320 Oklahoma

Profile Details

NPI number 1912910340
LBN Legal business name Davis, Wiley G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912910340 NPPES
Oklahoma Other 15560 BNDD
Oklahoma Other 15560 BNDD
Oklahoma Other AD8776099 BNDD

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