Healthcare Provider Details

I. General information

NPI: 1881034726
Provider Name (Legal Business Name): JAMES PHILIP DAVIES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2013
Last Update Date: 08/03/2021
Certification Date: 05/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2448 E 81ST ST STE 1520
TULSA OK
74137-4212
US

IV. Provider business mailing address

2448 E 81ST ST STE 1520
TULSA OK
74137-4212
US

V. Phone/Fax

Practice location:
  • Phone: 918-900-2520
  • Fax:
Mailing address:
  • Phone: 918-900-2520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number34921
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: