Davenport Medical Center LLC
NPI #1992094049 in Davenport, Oklahoma
Provider Information
- NPI Number
- 1992094049
- Entity Type
- Organization
- Organization Name
- Davenport Medical Center LLC
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Mar 29, 2011
- Last Updated
- Mar 29, 2011
Practice Location
Authorized Official
- Name
- TRACY WOHLGEMUTH
- Title
- MANAGER
- Phone
- (405) 249-9611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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