Organization
DYCUS-CAMP CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLEY R SHELTON (OFFICE MANAGER)
(405) 794-4474
Entity
Organization
Contact information
Practice address
320 N SERVICE RD, MOORE, OK 73160-4945
(405) 794-4474
Mailing address
320 N SERVICE RD, MOORE, OK 73160-4945
(405) 794-4474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/16/2007
Last updated
04/04/2013
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