Organization
K ANTHONY SHANBOUR, M.D., INC
Active
Other names
SHANBOUR & GOFF ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY S HORN CPC (INSURANCE CORDINATOR)
(405) 242-4036
Entity
Organization
Contact information
Practice address
4140 W MEMORIAL RD, SUITE 215, OKLAHOMA CITY, OK 73120
(405) 242-4030
(405) 242-4031
Mailing address
4140 W MEMORIAL RD, SUITE 215, OKLAHOMA CITY, OK 73120
(405) 242-4030
(405) 242-4031
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17067
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
441609746002
BLUE CROSS BLUE SHEILD
OK
Enumeration date
10/10/2006
Last updated
08/22/2020
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