Individual
ELLIE SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 NW EXPRESSWAY ST, OKLAHOMA CITY, OK 73112-4418
(405) 949-3349
Mailing address
208 NE 14TH ST, OKLAHOMA CITY, OK 73104-1206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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