Organization
SHADFAR FACIAL PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SHADFAR MD (MANAGER)
(405) 834-3275
Entity
Organization
Contact information
Practice address
4509 INTEGRIS PKWY STE 350, EDMOND, OK 73034-8696
(405) 534-4358
(405) 657-3896
Mailing address
225 NATURE LN, EDMOND, OK 73034-3461
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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