Organization
BETSY SHADID M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETSY ANN SHADID M.D. (MEMBER MANAGER)
(405) 471-4047
Entity
Organization
Contact information
Practice address
13820 WIRELESS WAY, OKLAHOMA CITY, OK 73134
(405) 471-4047
Mailing address
13820 WIRELESS WAY, OKLAHOMA CITY, OK 73134
(405) 471-4047
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25097
OK
Other
Enumeration date
06/11/2007
Last updated
08/22/2020
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