| Davenport Adult Care Clinic | |
|
1609 N Strong Blvd Suite 300 Mcalester OK 74501-1146 | |
| (918) 423-3400 | |
| (918) 420-5051 |
| Full Name | Davenport Adult Care Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1609 N Strong Blvd, Mcalester, Oklahoma |
| Authorized Official Name and Position | Kathy C Davenport (OWNER) |
| Authorized Official Contact | 9184233400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davenport Adult Care Clinic 1609 N Strong Blvd Suite 300 Mcalester OK 74501-1146 Ph: (918) 423-3400 | Davenport Adult Care Clinic 1609 N Strong Blvd Suite 300 Mcalester OK 74501-1146 Ph: (918) 423-3400 |
| NPI Number | 1174737621 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174737621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20290 (Oklahoma) | Primary |
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