Individual
SHAWNA KAY MCCALIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2617 S ELM PL, BROKEN ARROW, OK 74012-7850
(918) 455-6980
(918) 449-9743
Mailing address
1145 S UTICA AVE, SUITE 110, TULSA, OK 74104-4000
(918) 579-3826
(918) 579-1262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20291
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090520A
—
OK
01
—
P00378363
RAILROAD MEDICARE
OK
Enumeration date
07/29/2006
Last updated
08/03/2010
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