Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRENT WADE DAVIS, D.O.
ActiveDR. BRENT WADE DAVIS, D.O. is a Family Medicine healthcare provider located in WELEETKA, Oklahoma. NPI 1619009859 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WELEETKA, OK
Registration Details
- NPI Number
- 1619009859
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2007 (19.442441858863 yrs)
- Last Updated
- Jul 8, 2011
- License
-
1913 (OK)
Practice Information
- Address
-
315 W. 9 STREETWELEETKA, OK, 748800337Browse OK providers · Browse ZIP 74880
- Phone
- 4057862248
- Fax
- 4057862006
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WELEETKA, OK
| Name | Credential | NPI |
|---|---|---|
| KATIE NICOLE BURDEN-GREER | — | 1487948915 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.