Individual
MR. MELVIN ALLEN DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
817 NE 81ST ST, OKLAHOMA CITY, OK 73114-4003
(405) 821-4806
Mailing address
817 NE 81ST ST, OKLAHOMA CITY, OK 73114-4003
(405) 821-4806
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
C7187054
CA
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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