Healthcare Provider Details

I. General information

NPI: 1760401780
Provider Name (Legal Business Name): JAMES MICHAEL ALVIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 01/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2412 PALMER CIR
NORMAN OK
73069-6301
US

IV. Provider business mailing address

2412 PALMER CIR
NORMAN OK
73069-6301
US

V. Phone/Fax

Practice location:
  • Phone: 405-321-6347
  • Fax: 405-321-3082
Mailing address:
  • Phone: 405-321-6347
  • Fax: 405-321-3082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number19195
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: