Individual
BRYAN M SHEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1200 NEO LOOP, STE A, GROVE, OK 74344
(918) 787-6893
(918) 787-6815
Mailing address
PO BOX 452327, GROVE, OK 74345-2327
(918) 787-6893
(918) 787-6815
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
207
OK
213E00000X
Podiatrist
234
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100779640A
—
OK
05
—
158947717
—
AR
Enumeration date
11/21/2005
Last updated
08/21/2025
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