Individual
SHELBY MARIE FOGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3433 NW 56TH ST STE 760, OKLAHOMA CITY, OK 73112-4461
(405) 951-4345
Mailing address
3433 NW 56TH ST STE 760, OKLAHOMA CITY, OK 73112-4461
(405) 951-4345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/05/2021
Last updated
11/15/2023
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