Individual
EDWARD A SHADID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13904 QUAILBROOK DR, OKLAHOMA CITY, OK 73134-1702
(405) 755-4451
(405) 755-6053
Mailing address
13904 QUAILBROOK DR, OKLAHOMA CITY, OK 73134-1702
(405) 755-4451
(405) 755-6053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7578
OK
Other
Enumeration date
11/14/2006
Last updated
05/15/2008
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