Individual
TABITHA D DANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6201 N SANTA FE AVE, SUITE 2010, OKLAHOMA CITY, OK 73118-7538
(405) 272-5555
(405) 272-5517
Mailing address
PO BOX 269064, OKLAHOMA CITY, OK 73126-9064
(405) 272-5555
(405) 272-5517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4025
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8408536
—
WA
Enumeration date
08/23/2006
Last updated
10/21/2020
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