Provider Demographics
NPI:1790737427
Name:HECK, DAVID MARGRAVE (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:MARGRAVE
Last Name:HECK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7912 E 31ST CT
Mailing Address - Street 2:STE 210
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-1315
Mailing Address - Country:US
Mailing Address - Phone:918-392-4456
Mailing Address - Fax:918-392-4465
Practice Address - Street 1:1501 N. FLORENCE
Practice Address - Street 2:SUITE 201
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-3189
Practice Address - Country:US
Practice Address - Phone:918-341-1886
Practice Address - Fax:918-343-1727
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK10879207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK500522075OtherMEDICARE GROUP PIN
OK100197400AMedicaid
OK242311300Medicare PIN
OK100197400AMedicaid