Individual
DR. SHELLEY ANN BOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
937 SW 89TH ST, SUITE A, OKLAHOMA CITY, OK 73139-9231
(405) 631-2379
(405) 631-3377
Mailing address
937 SW 89TH ST, SUITE A, OKLAHOMA CITY, OK 73139-9231
(405) 631-2379
(405) 631-3377
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
14478
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100130350A
—
OK
Enumeration date
07/09/2006
Last updated
07/28/2008
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