person
Shannon Medley, PA-C
Medical Physician Assistant in Edmond, Oklahoma
NPI 1376705806

Shannon Medley is a Medical Physician Assistant based in Ada, OK and is specialized in Medical. Shannon Medley practices in Edmond, OK and has the professional credentials of PA-C. The NPI Number for Shannon Medley is 1376705806 and holds a License No. 1614 (Oklahoma).

The current practice location address for Shannon Medley is 1208 W 15Th St, Edmond, OK and can be reached out via phone at 405-340-2100 and via fax at 405-340-1184. You can also correspond with Shannon Medley through the mailing address at 530 N MONTE VISTA, ADA, OK - 74820-4675 (mailing address contact number: 580-436-7101).

Location: 1208 W 15Th St, Edmond, OK, 74820-4675
person
Provider Profile Details
NPI Number
1376705806
Provider Name
Shannon Medley
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1208 W 15Th St, Edmond, OK, 74820-4675
Phone Number
405-340-2100
Fax Number
405-340-1184
Provider Enumeration Date
06/26/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1208 W 15Th St
City
State
Zip
73013-3001
Phone Number
405-340-2100
Fax Number
405-340-1184
person
Provider Business Mailing Address Details
Address
530 N Monte Vista
City
Ada
State
Zip
74820-4675
Phone Number
580-436-7101
Fax Number
580-436-4447
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1614 (Oklahoma)
Definition
Definition to come...
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