Most Relevant Information
Provider Data
| NPI Number: | 1003475328 |
| Provider Name: | SHAWN DAVE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/10/2019 |
| Last Updated: | 09/04/2024 |
Provider Practice Location
1202 NW ARLINGTON AVE
LAWTON
OK
735076537
Practice Location Phone/Fax
| Phone: | 5802482288 |
| Fax: | 5806993316 |
Provider Mailing Location
3401 W GORE BLVD
LAWTON
OK
735056332
Provider Mailing Phone/Fax
| Phone: | 5803558620 |
| Fax: |