Clancy Davis

Peer Specialist · Ada, OK

Individual Active NPI

NPI number 1023488392

Practice location

124 South Broadway
Suite 200
Ada, OK 74820-0000
Phone
(580) 332-3001
Fax
(580) 332-8774

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NPI record

NPI
1023488392
Entity type
Individual (Type 1)
Enumeration date
September 30, 2015
Last updated
September 30, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

About Clancy Davis

Clancy Davis is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 124 South Broadway, Suite 200, Ada, OK 74820-0000. The NPI number 1023488392 was assigned on September 30, 2015 and the record was last updated on September 30, 2015.

Frequently asked questions

What is the NPI number of Clancy Davis?

The NPI number is 1023488392.

What is the phone number of Clancy Davis?

The phone number listed for the practice location is (580) 332-3001.

Where is Clancy Davis located?

124 South Broadway, Suite 200, Ada, OK 74820-0000.

What is the taxonomy code for Clancy Davis?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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