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1285197814
SHAUN DAVID TKACH
OKLAHOMA CITY, OK
NPI
1285197814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: OK 34829)
Enumeration Date
2019-04-10
Last Update Date
2020-07-08
Business Address
Dr. SHAUN DAVID TKACH MD
711 STANTON L YOUNG BLVD STE 111
OKLAHOMA CITY, OK 73104-5021
Phone number: 405-271-4906
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Mailing Address
Dr. SHAUN DAVID TKACH MD
800 STANTON L YOUNG BLVD # 3400
OKLAHOMA CITY, OK 73104-5018
Phone number: 405-271-5964
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