Individual
DR. JEFFEREY L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2021 S ELM PLACE, BROKEN ARROW, OK 74012-7031
(918) 806-6461
(918) 806-6710
Mailing address
2021 S ELM PLACE, BROKEN ARROW, OK 74012-7031
(918) 806-6461
(918) 806-6710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2361
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200017310A
—
OK
Enumeration date
06/26/2006
Last updated
11/15/2010
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