Shane Marshall D.O.

NPI 1073819314 - Emergency Medicine - 207PE0004X

NPI Details
NPI 1073819314
Gender Male
Enumeration Date 02/03/2011
Last Updated 02/03/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
4813 S 187TH EAST AVE
TULSA OK, 74134-7203, US
Phone (208) 371-5536
Fax
Business Location
4813 S 187TH EAST AVE
TULSA OK, 74134-7203, US
Phone (208) 371-5536
Fax
Toxanomy
Taxonomy Code 207PE0004X
License State Oklahoma
License Number 4925
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According to our database, Dr. Shane Marshall D.O. NPI is 1073819314, taxonomy code is 207PE0004X and license number is 4925, license state is located at Oklahoma. Shane Marshall D.O. physically located at 4813 S 187th East Ave, Tulsa OK, 74134-7203. NPI Number Shane Marshall D.O. has the Individual type.

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1073819314 NPI number is provided on an as is basis without warranty of any kind. 1073819314 is maintained by the National Plan & Provider Enumeration System. The contents of Shane Marshall D.O. are for informational purposes only.