Individual
MR. BRUCE ALAN DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4221 S WESTERN AVE, STE 4045, OKLAHOMA CITY, OK 73109-3447
(405) 636-1166
(405) 632-8446
Mailing address
4221 S WESTERN AVE, STE 4045, OKLAHOMA CITY, OK 73109-3447
(405) 636-1166
(405) 632-8446
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10948
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100150A
—
OK
Enumeration date
11/07/2005
Last updated
09/22/2020
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