Organization
SHELBA J BETHEL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELBA J BETHEL M D (PHYSICIAN)
(405) 364-5725
Entity
Organization
Contact information
Practice address
809 N FINDLAY AVE, 100, NORMAN, OK 73071-6438
(405) 364-0643
(405) 364-0502
Mailing address
809 N FINDLAY AVE SUITE 100, NORMAN, OK 73071
(405) 364-0643
(405) 364-0502
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8481
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092930B
—
OK
Enumeration date
03/14/2007
Last updated
01/14/2011
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