Individual
STEPHEN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395200 W 2900 RD, OCHELATA, OK 74051-2463
(918) 535-6000
(918) 535-2697
Mailing address
395200 W 2900 RD, OCHELATA, OK 74051-2463
(918) 535-6000
(918) 535-2697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38177
OK
Other
Enumeration date
04/29/2021
Last updated
12/18/2024
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