Individual
COLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10901 E 48TH ST, TULSA, OK 74146-5830
(918) 749-8765
(918) 392-2155
Mailing address
10901 E 48TH ST, TULSA, OK 74146-5830
(918) 749-8765
(918) 392-2155
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
27679
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200289020A
—
OK
Enumeration date
02/06/2007
Last updated
07/05/2022
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