Healthcare Provider Details

I. General information

NPI: 1609271386
Provider Name (Legal Business Name): DAVID EATON HARRINGTON B.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2014
Last Update Date: 10/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1556 E 37TH ST
TULSA OK
74105-3224
US

IV. Provider business mailing address

1556 E 37TH ST
TULSA OK
74105-3224
US

V. Phone/Fax

Practice location:
  • Phone: 918-808-6131
  • Fax:
Mailing address:
  • Phone: 918-808-6131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: