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Individual

DAVID MICHAEL ALCORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(573) 776-5354
Mailing address
744 W 9TH ST, TULSA, OK 74127-9020

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6351
OK
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063952562
OK
Enumeration date
03/02/2017
Last updated
03/24/2021
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