Healthcare Provider Details
I. General information
NPI: 1073442059
Provider Name (Legal Business Name): MARCH DAVIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
320 12TH AVE NE
NORMAN OK
73071-5238
US
IV. Provider business mailing address
320 12TH AVE NE
NORMAN OK
73071-5238
US
V. Phone/Fax
- Phone: 405-573-3819
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 247200000X |
| Taxonomy | Other Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: