Individual
MR. SHELBY MATTHIAS BEAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2600 NE 63RD ST, OKLAHOMA CITY, OK 73111-8301
(405) 271-5859
(405) 607-0655
Mailing address
2600 NE 63RD ST, OKLAHOMA CITY, OK 73111-8301
(405) 271-5859
(405) 607-0655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
APA1859
OK
Other
Enumeration date
12/06/2009
Last updated
05/28/2014
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