-- MARK L. DAVIS -- P.A.-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1487747713- Provider Type
- Individual Provider (NPI-1)
- Credentials
- P.A.-C
- Status
- Active
Contact & Location
- Address
- 3315 KETHLEY RD, SHAWNEE, OK, 748049638
- Phone
- (405) 273-5801
- Fax
- (405) 878-3814
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: OK #PA801