Individual
BRYAN SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1609 NW 30TH ST APT 222, OKLAHOMA CITY, OK 73118-3628
(405) 723-8909
Mailing address
1609 NW 30TH ST APT 222, OKLAHOMA CITY, OK 73118-3628
(405) 548-7254
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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