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Individual

MRS. AMBER L DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A

Contact information

Practice address
105365 S. HWY 102, MCLOUD, OK 74851-1360
(405) 964-2081
(405) 964-2053
Mailing address
PO BOX 1360, MCLOUD, OK 74851-1360
(405) 964-2081
(405) 964-2053

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1243
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1601243
OK
Enumeration date
06/22/2005
Last updated
10/06/2025
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