Individual
DANA KRISTINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6160 S YALE AVE, TULSA, OK 74136-1930
(918) 492-7200
(918) 497-3007
Mailing address
6600 S YALE AVE, STE 1400, TULSA, OK 74136-3310
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20792
OK
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
20792
OK
208000000X
Pediatrics Physician
20792
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100126310A
—
OK
Enumeration date
07/14/2005
Last updated
04/13/2020
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