person
Shawn Fadum, PA
Medical Physician Assistant in Ardmore, Oklahoma
NPI 1013374271

Shawn Fadum is a Medical Physician Assistant based in Ardmore, OK and is specialized in Medical. Shawn Fadum practices in Ardmore, OK and has the professional credentials of PA. The NPI Number for Shawn Fadum is 1013374271 and holds a License No. 2640 (Oklahoma).

The current practice location address for Shawn Fadum is 1104 Walnut Dr, Ardmore, OK and can be reached out via phone at 580-226-0543 and via fax at 580-226-2284.

Location: 1104 Walnut Dr, Ardmore, OK, 73401-2353
person
Provider Profile Details
NPI Number
1013374271
Provider Name
Shawn Fadum
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1104 Walnut Dr, Ardmore, OK, 73401-2353
Phone Number
580-226-0543
Fax Number
580-226-2284
Provider Enumeration Date
01/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1104 Walnut Dr
City
State
Zip
73401-2353
Phone Number
580-226-0543
Fax Number
580-226-2284
person
Provider Business Mailing Address Details
Address
1104 Walnut Dr
City
State
Zip
73401-2353
Phone Number
580-226-0543
Fax Number
580-226-2284
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2640 (Oklahoma)
Definition
Definition to come...
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