Organization
SHEA FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA S SHEA M.D. (OWNER)
(580) 475-0175
Entity
Organization
Contact information
Practice address
5112 W GORE BLVD STE 1, LAWTON, OK 73505-5909
(580) 699-3900
(580) 699-3901
Mailing address
5112 W GORE BLVD STE 1, LAWTON, OK 73505-5909
(580) 699-3900
(580) 699-3901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24988
OK
Other
Enumeration date
01/27/2010
Last updated
08/11/2010
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