Individual
BRADLEY N DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
9584 HORIZON CIR, SPERRY, OK 74073-4942
(918) 576-1574
Mailing address
9584 HORIZON CIR, SPERRY, OK 74073-4942
(918) 576-1574
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209779
OK
Other
Enumeration date
10/26/2022
Last updated
05/04/2023
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