Individual
ADAM LEE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8100 S WALKER AVE, OKLAHOMA CITY, OK 73139-9475
(405) 602-6500
Mailing address
508 CHEROKEE GATE DR, YUKON, OK 73099-6153
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
71103
OK
Other
Enumeration date
09/17/2009
Last updated
08/19/2022
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