Individual
DR. SHEA CHARBENEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
101 S SAINTS BLVD STE 101, EDMOND, OK 73034-3082
(405) 513-8326
(405) 513-7739
Mailing address
9500 EUCLID AVE # NA23, CLEVELAND, OH 44195-0001
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
351
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2018
Last updated
07/14/2021
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