Individual
DR. SHANNAN BETH BOND
Active
Individual
DR. SHANNAN BETH BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3626
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100187850B
—
OK
01
—
100230680A
SOONERCARE CHOICE
OK
01
—
1043301070
GROUP NPI NUMBER
OK
01
—
268321123002
BCBS OF OKLAHOMA
OK
01
—
3626
LICENSE NUMBER
OK
Enumeration date
10/20/2006
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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