Individual
DANNY UPCHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19656 US HIGHWAY 271, SPIRO, OK 74959-4454
(918) 649-8023
Mailing address
19656 US HIGHWAY 271, SPIRO, OK 74959-4454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12081973
BIRTHDATE
OK
Enumeration date
10/27/2017
Last updated
05/11/2026
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