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1487726881
DEREK J SHADID
OKLAHOMA CITY, OK
NPI
1487726881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: OK 24344)
Enumeration Date
2006-11-14
Last Update Date
2008-05-15
Business Address
-- DEREK J SHADID M.D.
13904 QUAILBROOK DR
OKLAHOMA CITY, OK 73134-1702
Phone number: 405-755-4451
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Mailing Address
-- DEREK J SHADID M.D.
13904 QUAILBROOK DR
OKLAHOMA CITY, OK 73134-1702
Phone number: 405-755-4451
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