Individual
ELISA A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 S ADAMS ST, STILLWATER, OK 74074-5476
(405) 743-7300
(405) 743-7256
Mailing address
PO BOX 720006, NORMAN, OK 73070-4006
(405) 743-7300
(405) 743-7256
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25157
OK
208000000X
Pediatrics Physician
Primary
25157
OK
Other
Enumeration date
02/09/2007
Last updated
03/10/2020
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