person
Susan Lynne Davis, PA-C
Medical Physician Assistant in Hartshorne, Oklahoma
NPI 1386734614

Susan Lynne Davis is a Medical Physician Assistant based in Mcalester, OK and is specialized in Medical. Susan Lynne Davis practices in Hartshorne, OK and has the professional credentials of PA-C. The NPI Number for Susan Lynne Davis is 1386734614 and holds a License No. PA533 (Oklahoma).

The current practice location address for Susan Lynne Davis is 1429 Pennsylvania Ave, Hartshorne, OK and can be reached out via phone at 918-297-2403 and via fax at 918-426-0888.

Location: 1429 Pennsylvania Ave, Hartshorne, OK, 74502-1992
person
Provider Profile Details
NPI Number
1386734614
Provider Name
Susan Lynne Davis
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1429 Pennsylvania Ave, Hartshorne, OK, 74502-1992
Phone Number
918-297-2403
Fax Number
918-426-0888
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200047790A 05 OK
institution
Provider Business Practice Location Address Details
Address
1429 Pennsylvania Ave
City
State
Zip
74547-3839
Phone Number
918-297-2403
Fax Number
918-426-0888
person
Provider Business Mailing Address Details
Address
1429 Pennsylvania Ave
City
State
Zip
74547-3839
Phone Number
918-297-2403
Fax Number
918-426-0888
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA533 (Oklahoma)
Definition
Definition to come...
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