Davenport Medical Center LLC

Organization Medical Physician Assistant · NPI 1992094049

Davenport Medical Center LLC provides Medical Physician Assistant services 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.

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Practice location Address checks out

203 N Broadway
Davenport, OK 74026 Not confirmed with CMS for 15 years — call before visiting
Phone: (405) 249-9611

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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