Individual
HARRIET HUGGARD SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 561-1131
(918) 585-9273
Mailing address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 561-1131
(918) 585-9273
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1906
OK
207Q00000X
Family Medicine Physician
1906
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100061850B
—
OK
Enumeration date
06/15/2006
Last updated
11/12/2012
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