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DAVIS, DANIEL ROBERT       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: REYNOLDS ARMY COMMUNITY HOSPTIAL
4301 MOW WAY RD
LAWTON/ FT SILL OK 73503-6300

Address last updated on 2/23/2010
Phone #: (580) 458-2628
Fax #:
County: COMANCHE
License: 24228
Dated: 11/12/2004
Expires: 11/1/2007
Temp. Lic. Issued: 10/14/2004
Temp. Lic. Expires: 1/29/2005
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: IN Univ Sch Of Med, Indianapolis In 46202
Graduated: 5 / 1999
CME Year: 2007
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
REYNOLDS ARMY COMMUNITY HOSPTIAL
4301 MOW WAY RD
LAWTON/ FT SILL OK 73503-6300

Phone #: (580) 458-2628
Fax #:

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