SHANNON BOUGHNER

TULSA, OK
NPI1194918748
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: OK  4277)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OK  4277)
Enumeration Date2007-08-27
Last Update Date2017-07-31
Business Address
-- SHANNON BOUGHNER D.O.
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-502-1900
Mailing Address
-- SHANNON BOUGHNER D.O.
6600 S YALE AVE SUITE 1200
TULSA, OK 74136-3347
Phone number: 918-488-6687