Organization
SOVEREIGN PALADIN LLC
Active
Organization
SOVEREIGN PALADIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MARK SHIDELER MD (OWNER, CEO)
(937) 219-8735
Entity
Organization
Contact information
Practice address
4101 PERIMETER CENTER DR STE 250, OKLAHOMA CITY, OK 73112-2309
(866) 933-8387
Mailing address
12444 NW 10TH STREET, STE 202, BOX 175, YUKON, OK 73099-7159
(937) 219-8735
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
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