Organization
BRUCE A DANIELS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE DANIELS (OWNER DOCTOR)
(405) 636-1166
Entity
Organization
Contact information
Practice address
4221 S WESTERN AVE, SUITE 4045, OKLAHOMA CITY, OK 73109-3447
(405) 636-1166
(405) 632-8446
Mailing address
4221 S WESTERN AVE, SUITE 4045, OKLAHOMA CITY, OK 73109-3447
(405) 636-1166
(405) 632-8446
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10948
OK
Other
Enumeration date
04/06/2007
Last updated
10/16/2007
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