Individual
SHELLEY CAPEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6465 S YALE AVE, SUITE 900, TULSA, OK 74136-7823
(918) 481-4800
(918) 481-4826
Mailing address
6465 S YALE AVE, SUITE 900, TULSA, OK 74136-7823
(918) 481-4800
(918) 481-4826
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25008
OK
208600000X
Surgery Physician
L6005
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
25008
OK
208C00000X
Colon & Rectal Surgery Physician
L6005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100739880A
—
OK
05
—
202408501
—
TX
Enumeration date
07/10/2006
Last updated
08/05/2011
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