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NPI Code Detail

MEDICARE: CHRIS MYRON DAVIS M.D.

MEDICARE: CHRIS MYRON 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
1208C00000XColon & Rectal Surgery Physician21359OK

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 : 1457374936
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRIS MYRON DAVIS M.D.
Provider Business Mailing Address
First Line : 3433 NW 56TH ST
Second Line : SUITE 740
City : OKLAHOMA CITY
State : OK
Zip : 73112-4461
Country : US
Telephone Number : 405-948-0640
Fax Number : 405-948-1753
Provider Business Practice Location Address
First Line : 3433 NW 56TH ST
Second Line : SUITE 740
City : OKLAHOMA CITY
State : OK
Zip : 73112-4461
Country : US
Telephone Number : 405-948-0640
Fax Number : 405-948-1753
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 06/29/2010

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