Individual
MR. DAVID TERRANCE ABBOTT I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2225 SW 59TH ST, OKLAHOMA CITY, OK 73119-7026
(405) 688-7700
Mailing address
206 STEVE CT, YUKON, OK 73099-6549
(405) 831-5698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA230
OK
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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