Organization
GREGORY E SHADID MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ERNEST SHADID M.D. (OWNER)
(405) 579-5858
Entity
Organization
Contact information
Practice address
3280 MARSHALL AVE, NORMAN, OK 73072-8028
(405) 579-5858
(405) 292-1787
Mailing address
3280 MARSHALL AVE, NORMAN, OK 73072-8028
(405) 579-5858
(405) 292-1787
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
08/22/2020
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