Individual
DR. SHANE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4813 S 187TH EAST AVE, TULSA, OK 74134-7203
(208) 371-5536
Mailing address
4813 S 187TH EAST AVE, TULSA, OK 74134-7203
(208) 371-5536
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO184177
OR
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4925
OK
Other
Enumeration date
02/03/2011
Last updated
10/04/2017
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