Clancy Davis

NPI #1023488392 in Ada, Oklahoma

Provider Information

NPI Number: 1023488392
Entity Type: Individual
Name: Clancy Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Sep 30, 2015
Last Updated: Sep 30, 2015

Practice Location

Address: 124 SOUTH BROADWAY
Address 2: SUITE 200
City: Ada
State: Oklahoma
ZIP Code: 74820-0000
Phone: (580) 332-3001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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