Individual
ALI S SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
Mailing address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5231
OK
Other
Enumeration date
08/05/2021
Last updated
02/25/2026
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