Individual
DR. THOMAS WAYNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2129 SW 59TH ST, SUITE 1238, OKLAHOMA CITY, OK 73119-7024
(405) 713-5779
(404) 681-8085
Mailing address
2129 SW 59TH ST, SUITE 1238, OKLAHOMA CITY, OK 73119-7024
(405) 713-5779
(404) 681-8085
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
10683
OK
208U00000X
Clinical Pharmacology Physician
Primary
10683
OK
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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