Davenport Medical Center LLC
Davenport Medical Center LLC is a Medical Physician Assistant in Davenport, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2011.
- Licensed in
- OK
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
203 N BroadwayDavenport, OK 74026
Phone: (405) 249-9611
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 242 (OK) |
|---|
Record details
| NPI number | 1992094049 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tracy Wohlgemuth — Manager · (405) 249-9611 |
| NPI enumerated | March 29, 2011 |
| Last updated in NPPES | March 29, 2011 |
| Mailing address | 203 N Broadway, Davenport, OK 74026 |