Individual
DR. SHAWN CRISMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
6802 S OLYMPIA AVE STE 125, TULSA, OK 74132-1830
(918) 513-3234
(918) 513-3229
Mailing address
6802 S OLYMPIA AVE STE 125, TULSA, OK 74132-1830
(918) 513-3234
(918) 513-3229
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11634
OK
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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