Individual
JAMES R. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5525 HIDDEN MEADOW DR, MUSTANG, OK 73064-9684
(405) 376-5121
Mailing address
5525 HIDDEN MEADOW DR, MUSTANG, OK 73064-9684
(405) 376-5121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3657
OK
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
3657
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100103050C
—
OK
Enumeration date
09/22/2005
Last updated
01/22/2024
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