MEDICARE: DR. DAVID DAY DODSON D.C.

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
1	111NX0800X	Orthopedic Chiropractor	2282	OK

General Provider Information

NPI Number	:	1356619308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID DAY DODSON D.C.

Provider Business Mailing Address
First Line	:	1404 W BRITTON RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-1316
Country	:	US
Telephone Number	:	405-842-0064
Fax Number	:

Provider Business Practice Location Address
First Line	:	1404 W BRITTON RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-1316
Country	:	US
Telephone Number	:	405-842-0064
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2011
Last Update Date	:	12/13/2011

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