Individual
JEREMY SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 W 17TH ST, TULSA, OK 74107-1800
(918) 295-3400
(918) 585-1549
Mailing address
1121 21ST AVE S, CC-3322 MEDICAL CENTER NORTH, NASHVILLE, TN 37232-2561
(615) 343-4882
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
32607
OK
Other
Enumeration date
04/08/2014
Last updated
07/21/2022
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