Individual
MITCHELL RYAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1921 STONECIPHER BOULEVARD, ADA, OK 74820-3439
(580) 421-6260
(580) 272-5731
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820-3439
(580) 421-4570
(580) 272-5731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20654
OK
Other
Enumeration date
12/22/2005
Last updated
09/08/2016
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