Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 171 | OK |
N | 111NR0200X | Radiology | 171 | OK |
N | 213ER0200X | Radiology | 171 | OK |
N | 213ES0103X | Foot & Ankle Surgery | 171 | OK |
NPI | 1134129158 |
---|---|
Provider Name | David Alan Francis |
First Address | Tulsa, OK 74135 |
Second Address | Tulsa, OK 74135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2005 |
Last Update Date | 04/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100779930A | (05) | OK |
U05899 | (02) |