SHANE BRODY HNATUSKO

TULSA, OK
NPI1407215460
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: KS  05-40483)
Enumeration Date2016-02-18
Last Update Date2019-05-31
Business Address
Mr. SHANE BRODY HNATUSKO MSIV
744 W 9TH ST EMERGENCY MEDICINE DEPARTMENT
TULSA, OK 74127-9020
Phone number: 918-599-5100
Mailing Address
Mr. SHANE BRODY HNATUSKO MSIV
744 W 9TH ST EMERGENCY MEDICINE DEPARTMENT
TULSA, OK 74127-9020
Phone number: 918-599-5100