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Individual

SCOTT THOMAS SHEPHERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4200 E SKELLY DR STE 305, TULSA, OK 74135-3247
(918) 216-0157
(918) 216-0159
Mailing address
4200 E SKELLY DR, TULSA, OK 74135-3247
(918) 216-0157
(918) 216-0159

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02234
OK
208000000X
Pediatrics Physician
02234
OK

Other

Enumeration date
09/08/2008
Last updated
09/08/2025
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