Organization
COLON AND RECTAL SURGERY OF OKLAHOMA, P.C.
Active
Organization
COLON AND RECTAL SURGERY OF OKLAHOMA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS M. DAVIS M.D. (PRESIDENT)
(405) 948-0640
Entity
Organization
Contact information
Practice address
3433 NW 56TH ST, SUITE 760, OKLAHOMA CITY, OK 73112-4461
(405) 948-0640
(405) 948-1753
Mailing address
3433 NW 56TH ST, SUITE 760, OKLAHOMA CITY, OK 73112-4461
(405) 948-0640
(405) 948-1753
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100748380A
—
OK
01
—
880522025
MEDICARE PTAN
OK
Enumeration date
03/01/2007
Last updated
06/30/2010
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