Organization
WESTPORT FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM D DAVIS DO (PARTNER)
(405) 321-6405
Entity
Organization
Contact information
Practice address
2400 PALMER CIR, NORMAN, OK 73069-6301
(405) 321-6405
(405) 321-6457
Mailing address
PO BOX 268822, OKLAHOMA CITY, OK 73126-8822
(405) 321-6405
(405) 321-6457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3845
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200074650A
—
OK
Enumeration date
06/25/2006
Last updated
07/30/2008
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