Individual
CHRIS MYRON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3433 NW 56TH ST, SUITE 740, OKLAHOMA CITY, OK 73112-4461
(405) 948-0640
(405) 948-1753
Mailing address
3433 NW 56TH ST, SUITE 740, OKLAHOMA CITY, OK 73112-4461
(405) 948-0640
(405) 948-1753
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
21359
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100215860A
—
OK
Enumeration date
07/25/2006
Last updated
06/29/2010
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