Individual
REBECCA J DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 N BRYANT AVE, EDMOND, OK 73034-6273
(405) 330-7000
Mailing address
200 N BRYANT AVE, EDMOND, OK 73034-6273
(405) 330-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23031
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728970A
—
OK
01
—
OK700618
MEDICARE
OK
Enumeration date
12/21/2006
Last updated
12/01/2009
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