Individual
DAVID LYLE COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9001 S 101ST EAST AVE, 350, TULSA, OK 74133-5708
(918) 392-5500
(918) 392-5512
Mailing address
7912 E 31ST CT, STE 210, TULSA, OK 74145-1315
(918) 392-4477
(918) 392-4465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17660
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100255760C
—
OK
01
—
800522535
MEDICARE GROUP PIN
OK
Enumeration date
05/16/2006
Last updated
05/16/2008
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