# DYCUS-CAMP CLINIC INC

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

## Provider details

- **NPI number:** 1982896544
- **Authorized official:** MS. SHELLEY R SHELTON (OFFICE MANAGER)
- **Authorized official phone:** (405) 794-4474

## Contact information

- **Practice address:** 320 N SERVICE RD, MOORE, OK 73160-4945
- **Practice address phone:** (405) 794-4474
- **Mailing address:** 320 N SERVICE RD, MOORE, OK 73160-4945
- **Mailing address phone:** (405) 794-4474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2007
- **Last updated:** 04/04/2013