Individual
MARK ALAN SHEAMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2002 12TH AVE NW, SUITE B, ARDMORE, OK 73401-1206
(580) 223-4795
(580) 223-5184
Mailing address
2002 12TH AVE NW, SUITE B, ARDMORE, OK 73401-1206
(580) 223-4795
(580) 223-5184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA484
OK
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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