Individual
MARGO RENEE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
721 W BROADWAY AVE STE C, ENID, OK 73701-3800
(580) 297-5340
(580) 297-5344
Mailing address
721 W BROADWAY AVE STE C, ENID, OK 73701-3800
(580) 297-5340
(580) 297-5344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23498
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200085930B
—
OK
Enumeration date
05/26/2006
Last updated
09/05/2024
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