Organization
SHADID PLASTIC SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD A SHADID SR. MD (PRESIDENT)
(405) 755-4451
Entity
Organization
Contact information
Practice address
13820 WIRELESS WAY, OKLAHOMA CITY, OK 73134-2501
(405) 755-4451
(405) 755-6053
Mailing address
13820 WIRELESS WAY, OKLAHOMA CITY, OK 73134-2501
(405) 755-4451
(405) 755-6053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7578
OK
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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