# K. ANTHONY SHANBOUR MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598119109
- **Authorized official:** K. ANTHONY SHANBOUR MD (OWNER)
- **Authorized official phone:** (405) 237-9878

## Contact information

- **Practice address:** 5720 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2010
- **Practice address phone:** (405) 470-2207
- **Practice address fax:** (405) 470-8747
- **Mailing address:** 13921 N MERIDIAN, SUITE 200, OKLAHOMA CITY, OK 73134-1104
- **Mailing address phone:** (405) 237-9878
- **Mailing address fax:** (405) 655-5791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 17067 | OK | Yes |

## Other

- **Enumeration date:** 04/20/2016
- **Last updated:** 08/05/2019