Individual
SHANNON DEWAYNE CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 S PENN AVE, BARTLESVILLE, OK 74003-3847
(918) 273-1841
Mailing address
607 COUNTY ROAD 3901, PAWHUSKA, OK 74056-5244
(918) 327-9253
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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