Individual
DAVID DAUTENHAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4050 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 608-3773
Mailing address
7800 NW 85TH TER STE 200, OKLAHOMA CITY, OK 73132-3385
(405) 608-3800
(405) 608-3838
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13102
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100111220A
—
OK
Enumeration date
12/07/2005
Last updated
02/26/2016
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