John Howard Davis

NPI #1750905808 in Shawnee, Oklahoma

Provider Information

NPI Number: 1750905808
Entity Type: Individual
Name: John Howard Davis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jun 4, 2020
Last Updated: Jun 7, 2021

Practice Location

Address: 540 W WALLACE ST
City: Shawnee
State: Oklahoma
ZIP Code: 74801-5722
Phone: (405) 777-8275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X
Peer Specialist	175T00000X	Primary

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