person
Mark L. Davis, PA-C
Medical Physician Assistant in Shawnee, Oklahoma
NPI 1487747713

Mark L. Davis is a Medical Physician Assistant based in Shawnee, OK and is specialized in Medical. Mark L. Davis practices in Shawnee, OK and has the professional credentials of PA-C. The NPI Number for Mark L. Davis is 1487747713 and holds a License No. PA801 (Oklahoma).

The current practice location address for Mark L. Davis is 3315 Kethley Rd, Shawnee, OK and can be reached out via phone at 405-273-5801 and via fax at 405-878-3814.

Location: 3315 Kethley Rd, Shawnee, OK, 74802-0849
person
Provider Profile Details
NPI Number
1487747713
Provider Name
Mark L. Davis
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3315 Kethley Rd, Shawnee, OK, 74802-0849
Phone Number
405-273-5801
Fax Number
405-878-3814
Provider Enumeration Date
09/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100715900B 05 OK
institution
Provider Business Practice Location Address Details
Address
3315 Kethley Rd
City
State
Zip
74804-9638
Phone Number
405-273-5801
Fax Number
405-878-3814
person
Provider Business Mailing Address Details
Address
3315 Kethley Rd
City
State
Zip
74804-9638
Phone Number
405-273-5801
Fax Number
405-878-3814
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA801 (Oklahoma)
Definition
Definition to come...
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