Individual
DR. SHEA PELHAM PIELSTICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
709 N CZECH HALL RD, YUKON, OK 73099-7897
(405) 494-8600
(405) 494-8600
Mailing address
709 N CZECH HALL RD, YUKON, OK 73099-7897
(405) 494-8600
(405) 494-8600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33202
OK
207Q00000X
Family Medicine Physician
33202
OK
Other
Enumeration date
06/07/2017
Last updated
09/12/2025
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