Individual
MS. ANGELA SELMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 S TELEPHONE ROAD, MOORE, OK 73160
(405) 793-9355
Mailing address
2612 NW 152ND ST, EDMOND, OK 73013
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
17207
OK
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
17207
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100199610A
—
OK
Enumeration date
05/23/2006
Last updated
06/02/2010
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