Individual
SHELBY P COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-7701
(405) 230-1158
Mailing address
10405 SUNSET BLVD, THE VILLAGE, OK 73120-2433
(405) 230-1158
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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