Individual
STAFFAN DAVIS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 NW 31ST ST, OKLAHOMA CITY, OK 73112-7407
(405) 541-4150
Mailing address
2808 NW 31ST ST, OKLAHOMA CITY, OK 73112-7407
(405) 541-4150
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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