Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | 35631 | OK |
NPI | 1184035677 |
---|---|
Provider Name | Dr. Dylan Frances Davey |
First Address | Tulsa, OK 74136-3333 |
Second Address | Tulsa, OK 74136-1902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2014 |
Last Update Date | 11/02/2021 |