Individual provider · Type 1 NPI
Susan Lynne Davis, PA-C
Medical Physician Assistant · Hartshorne, OK
NPI number
1386734614
Active
Practice location
1429 Pennsylvania Ave
Hartshorne, OK 74547-3839
Fax (918) 426-0888
Mailing address
PO Box 1992
Mcalester, OK 74502-1992
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA533 (OK) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1386734614
Susan Lynne Davis, PA-C's National Provider Identifier is 1386734614, issued on Oct 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartshorne, OK. The record was last updated on May 2, 2023.