NPI 1003430869
Jefferies Blake Davis
Practice location
- Address
- 10700 S Choctaw Rd, Newalla, OK 74857-7962
- Phone
- (405) 742-7713
- Mailing address
- 7701 S Anderson Rd, Oklahoma City, OK 73150-6708
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1003430869
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Jun 2020
- Record last updated
- 8 Jun 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.