Individual
TROY R NORRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3315 KETHLEY RD, SHAWNEE, OK 74804
(405) 273-5801
(405) 878-3794
Mailing address
3315 KETHLEY RD, SHAWNEE, OK 74804-9638
(405) 273-5801
(405) 878-3794
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
20073
OK
207RI0011X
Interventional Cardiology Physician
Primary
20073
OK
Other
Enumeration date
06/16/2005
Last updated
02/05/2019
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