Individual
STANLEY SHADID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3030 N W 164TH ST. SUITE 101, EDMOND, OK 73013
(405) 252-8761
(405) 272-8762
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 715-5300
(405) 715-5350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29130
OK
Other
Enumeration date
05/25/2012
Last updated
10/31/2024
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