Provider Demographics
NPI:1265419691
Name:ESLICKER, DAVID K (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:K
Last Name:ESLICKER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:501 SE FRANK PHILLIPS BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74003-3913
Mailing Address - Country:US
Mailing Address - Phone:918-336-5454
Mailing Address - Fax:918-336-4449
Practice Address - Street 1:501 SE FRANK PHILLIPS BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74003-3913
Practice Address - Country:US
Practice Address - Phone:918-336-5454
Practice Address - Fax:918-336-4449
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK2149207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKE09838Medicare UPIN