Individual
MRS. MEGAN M SHELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820
(580) 436-3980
Mailing address
2029 GORDON COOPER DR, SHAWNEE, OK 74801-9005
(405) 878-5850
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2394
OK
363AM0700X
Medical Physician Assistant
MA-053986
PA
Other
Enumeration date
11/08/2009
Last updated
08/16/2018
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