Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 2282 | OK |
NPI | 1356619308 |
---|---|
Provider Name | Dr. David Day Dodson |
First Address | Oklahoma City, OK 73114-1316 |
Second Address | Oklahoma City, OK 73114-1316 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2011 |
Last Update Date | 13/12/2011 |