Individual
SHELLY BOWLES MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 619-4400
(918) 619-4801
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 619-4400
(918) 619-4801
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
33525
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200775570A
—
OK
Enumeration date
04/23/2012
Last updated
09/08/2022
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