Individual
SHAWN E. MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 N MUSKOGEE PL, CLAREMORE, OK 74017-3058
(918) 341-2556
Mailing address
1717 S UTICA AVE STE A, TULSA, OK 74104-5346
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
3974
OK
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
3974
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006980B
—
OK
Enumeration date
09/21/2005
Last updated
12/01/2025
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