Organization
CHRISTOPHER C. SHADID, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER C SHADID MD (OWNER)
(405) 206-0238
Entity
Organization
Contact information
Practice address
837 NW 41ST ST, OKLAHOMA CITY, OK 73118-6822
(405) 206-0238
Mailing address
PO BOX 21416, OKLAHOMA CITY, OK 73156-1416
(817) 529-1937
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508813932
—
OK
Enumeration date
10/03/2017
Last updated
10/03/2017
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