Individual
DR. SHELLY DAWN FAUBION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
303 SE 4TH ST, MOORE, OK 73160-6709
(405) 794-4664
(405) 794-2853
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3260
OK
207Q00000X
Family Medicine Physician
012003
AZ
207Q00000X
Family Medicine Physician
Primary
3260
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100125330B
—
OK
Enumeration date
11/18/2005
Last updated
11/10/2025
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