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NPI Code Detail

MEDICARE: DANA KRISTINE DAVIS M.D.

MEDICARE: DANA KRISTINE DAVIS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician20792OK
2208000000XPediatrics Physician20792OK
3207RA0000XAdolescent Medicine (Internal Medicine) Physician20792OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255330023
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA KRISTINE DAVIS M.D.
Provider Business Mailing Address
First Line : 6600 S YALE AVE
Second Line : STE 1400
City : TULSA
State : OK
Zip : 74136-3310
Country : US
Telephone Number : 918-488-6001
Fax Number :
Provider Business Practice Location Address
First Line : 6160 S YALE AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-1930
Country : US
Telephone Number : 918-492-7200
Fax Number : 918-497-3007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 04/13/2020

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Directions to “ DANA KRISTINE DAVIS M.D.” Practice Location

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