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Contact Information

DEENA DAVE, MD
1202 SW 67TH STR
SUITE 2 AND 3
LAWTON, OK73505
 Phone: 580-250-0324
 Fax: 580-248-4523
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DEENA DAVE · (Female)

NPI Number 1164418356
Status Active
Credentials MD
Entity Individual
Enumeration date 09/22/2005
Last updated 06/03/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 14395
  • OK Medicaid 100084210A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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