Individual
ETHAN BRADLEY DAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5065
(405) 271-7816
Mailing address
608 STANTON L YOUNG BLVD # 320, OKLAHOMA CITY, OK 73104-5065
(405) 271-7816
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
45544
OK
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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