Organization · Type 2 NPI
Davenport Medical Center LLC
Medical Physician Assistant · Davenport, OK
NPI number
1992094049
Active
Practice location
203 N Broadway
Davenport, OK 74026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 242 (OK) |
Medical Physician Assistant: Definition to come...
About NPI 1992094049
Davenport Medical Center LLC's National Provider Identifier is 1992094049, issued on Mar 29, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Davenport, OK. The record was last updated on Mar 29, 2011.