Wiley G Davis is a Psychiatry in Lawton, Oklahoma. Wiley G Davis practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Wiley G Davis is 1912910340. The last update date is 2023-03-07.
Wiley G Davis's current location address is 5002 Sw Lee Boulevard, Lawton, Oklahoma. You can contact this provider via phone number 5805314512 and fax number 5805314519. The mailing address for Wiley G Davis is 5002 Sw Lee Boulevard, Lawton, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wiley G Davis |
|---|---|
| Address | 5002 Sw Lee Boulevard, Lawton, Oklahoma |
| Phone Number | 5805314512 |
| Fax Number | 5805314519 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912910340 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 5002 Sw Lee Boulevard |
|---|---|
| City | Lawton |
| State | Oklahoma (OK) |
| Post Code | 735058320 |
| Phone Number | 5805314512 |
| Fax Number | 5805314519 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 12320 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15560 | OK | BNDD | |
| 15560 | OK | OBN | |
| AD8776099 | U.S. DEPT OF JUSTICE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Wiley G Davis?
The Wiley G Davis has been issued the NPI (National Provider Identifier) 1912910340 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Wiley G Davis's facilities are geographically located?
The facilities of Wiley G Davis are physically situated at the following location: 5002 Sw Lee Boulevard, Lawton, OK, 735058320.
What is Wiley G Davis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Wiley G Davis's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date did Wiley G Davis receive its 1912910340 assignment from the Centers for Medicare & Medicaid Services?
The Wiley G Davis was assigned its 1912910340 on 2006-08-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Wiley G Davis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Wiley G Davis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-07.