Individual
DR. DATHAN D JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3433 NW 56TH ST, SUITE 580, OKLAHOMA CITY, OK 73112-4455
(405) 917-3518
(405) 951-4361
Mailing address
13919B N MAY AVE, STE 197, OKLAHOMA CITY, OK 73134-5035
(405) 917-3518
(405) 951-4359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23512
OK
208M00000X
Hospitalist Physician
Primary
23512
OK
Other
Enumeration date
04/12/2006
Last updated
01/05/2017
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