Individual
TONJA SHANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.- C
Contact information
Practice address
1401 N 4TH AVE STE 107, PURCELL, OK 73080-1806
(405) 527-5400
(405) 527-7332
Mailing address
1801 E 4TH ST, OKMULGEE, OK 74447-3942
(918) 756-4333
(918) 759-2081
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
757
OK
Other
Enumeration date
07/25/2006
Last updated
09/28/2022
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