Individual
DR. TERESA MARIE SHAVNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 NW EXPRESSWAY, SUITE 420, OKLAHOMA CITY, OK 73112-4493
(405) 713-9935
(405) 713-9936
Mailing address
3400 NW EXPRESSWAY, SUITE 420, OKLAHOMA CITY, OK 73112-4493
(405) 713-9935
(405) 713-9936
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12744
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112140A
—
OK
Enumeration date
07/12/2005
Last updated
02/04/2014
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