Individual provider · Type 1 NPI

Mark L. Davis, P.A.-C

Medical Physician Assistant · Shawnee, OK

NPI number 1487747713 Active

Practice location

3315 Kethley Rd
Shawnee, OK 74804-9638

Fax (405) 878-3814

Mailing address

PO Box 849
Shawnee, OK 74802-0849

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA801 (OK)

Medical Physician Assistant: Definition to come...

60 other providers at this address

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About NPI 1487747713

Mark L. Davis, P.A.-C's National Provider Identifier is 1487747713, issued on Sep 30, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Shawnee, OK. The record was last updated on Aug 29, 2012.