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Organization
MICHAEL D DAVID DO
Active
Organization
MICHAEL D DAVID DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D DAVID DO (OWNER)
(918) 786-5026
Entity
Organization
Contact information
Practice address
4602 HIGHWAY 59 N, GROVE, OK 74344-4229
(918) 786-5026
(918) 786-5141
Mailing address
PO BOX 451087, GROVE, OK 74345-1087
(918) 786-5026
(918) 786-5141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3714
OK
Other
Enumeration date
10/18/2006
Last updated
05/07/2008
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