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NPI Code Detail

MEDICARE: DAVID EAKIN II M.D.

MEDICARE: DAVID EAKIN II 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
12084P0800XPsychiatry Physician21962OK

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 : 1598726143
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID EAKIN II M.D.
Provider Business Mailing Address
First Line : 1408 S DENVER AVE
Second Line :
City : TULSA
State : OK
Zip : 74119-3423
Country : US
Telephone Number : 918-808-2473
Fax Number : 918-608-1047
Provider Business Practice Location Address
First Line : 1408 S DENVER AVE
Second Line :
City : TULSA
State : OK
Zip : 74119-3423
Country : US
Telephone Number : 918-808-2473
Fax Number : 918-608-1047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 07/10/2009

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