Organization
ADA FAMILY MEDICAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC JASON DAVIS D.O. (OWNER / PHYSICIAN)
(580) 310-9510
Entity
Organization
Contact information
Practice address
530 N MONTE VISTA ST, ADA, OK 74820-4612
(580) 310-9510
(580) 436-4447
Mailing address
530 N MONTE VISTA ST, ADA, OK 74820-4612
(580) 310-9510
(580) 436-4447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3540
OK
Other
Enumeration date
05/22/2006
Last updated
08/22/2020
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