Provider Demographics
NPI:1760544068
Name:SCURRY, DARYL LEROY (MD)
Entity Type:Individual
Prefix:DR
First Name:DARYL
Middle Name:LEROY
Last Name:SCURRY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1515 NE LAWRIE TATUM RD
Mailing Address - Street 2:LAWTON INDIAN HOSPITAL
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73507-3002
Mailing Address - Country:US
Mailing Address - Phone:580-354-5500
Mailing Address - Fax:580-354-5510
Practice Address - Street 1:1515 NE LAWRIE TATUM RD
Practice Address - Street 2:LAWTON INDIAN HOSPITAL
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73507-3002
Practice Address - Country:US
Practice Address - Phone:580-354-5500
Practice Address - Fax:580-354-5510
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2011-10-31
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Provider Licenses
StateLicense IDTaxonomies
HI156642080P0006X
WA257442080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics