Individual
JARED SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-1850
(918) 494-4573
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8210
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2021017472
MO
2086S0102X
Surgical Critical Care Physician
Primary
41132
OK
Other
Enumeration date
06/29/2017
Last updated
11/13/2023
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