Individual
SHELBY PAIGE YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3200
Mailing address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4875
OK
Other
Enumeration date
11/21/2022
Last updated
11/03/2023
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