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Individual

DR. DOUGLAS A DAVIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1265 S UTICA AVE, SUITE 300, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Mailing address
1265 S UTICA AVE, SUITE 300, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
28117
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0059561
NJ
01
10382543
CAQH
Enumeration date
02/13/2006
Last updated
05/13/2014
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