NPI 1023488392 CLANCY DAVIS ADA OK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Clancy Davis - NPI: 1023488392

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: CLANCY DAVIS
NPI Number: 1023488392
Entity Type Code: Individual (1)
Gender: M
Credentials:
License Number:
Business Practice Address: 124 South Broadway
Suite 200 Ada, OK - 748200000
Business Phone Number: 5803323001
Business Fax Number: 5803328774
Mailing Address: 124 South Broadway, Suite 200
ADA
State: OK
Postal Code: 748200000
Phone Number: 5803323001
Fax Number: 5803328774
NPI Enumeration Date: 09/30/2015
NPI Last Update Date: 09/30/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 175T00000X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type:
Taxonomy Classification:
Taxonomy Specialization:
Taxonomy Definition:


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