TANNA MARIE SHAW

EDMOND, OK
NPI1962430363
Former NameTANNA SHAW LEIBOLD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OK  220758)
Enumeration Date2006-06-28
Last Update Date2023-03-06
Business Address
TANNA MARIE SHAW MD
15318 N MAY AVE STE B
EDMOND, OK 73013-8864
Phone number: 405-970-8020
Mailing Address
TANNA MARIE SHAW MD
15318 N MAY AVE STE B
EDMOND, OK 73013-8864
Phone number: 405-970-8020
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