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Individual

SHANI ORTIZ HARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4221 S WESTERN AVE STE 5050, OKLAHOMA CITY, OK 73109-3499
(405) 636-7900
(405) 644-5168
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 636-7900
(405) 644-5168

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33611
OK

Other

Enumeration date
06/04/2012
Last updated
04/15/2019
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