Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David T. Dube, PA

Individual provider Physician Assistant · NPI 1578679684

David T. Dube, PA is a Physician Assistant in Edmond, Oklahoma. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
29
Licensed in
OK
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

15112 Traditions Blvd Ste A
Edmond, OK 73013-1182
Phone: (405) 289-0483
Fax: (405) 266-6609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 925 (OK)

Record details

NPI number1578679684
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 22, 2006
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address15112 Traditions Blvd Ste A, Edmond, OK 73013-1182

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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