Individual provider · Type 1 NPI

Antonio La Don Davis

Student in an Organized Health Care Education/Training Program · Stillwater, OK

NPI number 1235603192 Active

Practice location

820 1/2 S Knoblock St
Stillwater, OK 74074-4528

Call (757) 289-6466 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300X731 (OK)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235603192

Antonio La Don Davis's National Provider Identifier is 1235603192, issued on Jan 14, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stillwater, OK. The record was last updated on Jan 14, 2019.