Organization
THE NORMAN ADD CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ERNEST SHADID M.D. (PSYCHIATRIST/OWNER)
(405) 310-4477
Entity
Organization
Contact information
Practice address
730 ASP AVE, SUITE 210, NORMAN, OK 73069-4933
(405) 310-4477
(405) 310-4417
Mailing address
730 ASP AVE, SUITE 210, NORMAN, OK 73069-4933
(405) 310-4477
(405) 310-4417
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20542
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100228720B
—
OK
Enumeration date
01/19/2012
Last updated
01/19/2012
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