Jefferey L Davis in Broken Arrow - Family Medicine

Jefferey L Davis - NPI 1164459277

Jefferey L Davis is a Family Medicine in Broken Arrow, Oklahoma. Jefferey L Davis practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jefferey L Davis is 1164459277. The last update date is 2010-11-15.

Jefferey L Davis's current location address is 2021 S Elm Place, Broken Arrow, Oklahoma. You can contact this provider via phone number 9188066461 and fax number 9188066710. The mailing address for Jefferey L Davis is 2021 S Elm Place, Broken Arrow, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Jefferey L Davis
Address 2021 S Elm Place, Broken Arrow, Oklahoma
Phone Number 9188066461
Fax Number 9188066710
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1164459277
Provider Enumeration Date 2006-06-26
Last Updated Date 2010-11-15

Provider Mailing Address Detail

Address 2021 S Elm Place
City Broken Arrow
State Oklahoma (OK)
Post Code 740127031
Phone Number 9188066461
Fax Number 9188066710

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 2361
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200017310A OK --

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FAQs about Jefferey L Davis

What is the unique 10-digit identifier code issued to Jefferey L Davis by the Centers for Medicare & Medicaid Services?

The Jefferey L Davis has been assigned the NPI (National Provider Identifier) 1164459277 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Jefferey L Davis is physically located?

The Jefferey L Davis is situated at the following address: 2021 S Elm Place, Broken Arrow, OK 740127031.

What is the Jefferey L Davis's area of specialization and corresponding taxonomy classification?

The Jefferey L Davis's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

When did Jefferey L Davis receive its 1164459277 assignment?

The Jefferey L Davis was assigned its 1164459277 on 2006-06-26, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Jefferey L Davis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jefferey L Davis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-11-15.

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