MARK L. DAVIS

SHAWNEE, OK
NPI1487747713
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OK  PA801)
Enumeration Date2006-09-30
Last Update Date2012-08-29
Business Address
-- MARK L. DAVIS P.A.-C
3315 KETHLEY RD
SHAWNEE, OK 74804-9638
Phone number: 405-273-5801
Mailing Address
-- MARK L. DAVIS P.A.-C
PO BOX 849
SHAWNEE, OK 74802-0849
Phone number: 405-273-5801