Provider Demographics
NPI:1508001223
Name:DAVEY, WILLIAM F
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:DAVEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3545 NW 58TH ST STE 330
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4718
Mailing Address - Country:US
Mailing Address - Phone:405-819-3241
Mailing Address - Fax:405-609-2997
Practice Address - Street 1:3545 NW 58TH ST STE 330
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4718
Practice Address - Country:US
Practice Address - Phone:405-819-3241
Practice Address - Fax:405-609-2997
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies