Individual
CARSON SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20 12TH AVE NW, ARDMORE, OK 73401-5722
(580) 223-3411
(580) 226-6213
Mailing address
20 12TH AVE NW, ARDMORE, OK 73401-5722
(580) 223-3411
(580) 226-6213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5339
OK
208M00000X
Hospitalist Physician
5339
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200494610A
—
OK
Enumeration date
02/18/2010
Last updated
10/05/2016
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