Individual provider · Type 1 NPI

Shawn Fadum, PA

Medical Physician Assistant · Ardmore, OK

NPI number 1013374271 Active

Practice location

1104 Walnut Dr
Ardmore, OK 73401-2353

Call (580) 226-0543 Map

Fax (580) 226-2284

Other practice locations

  • 1306 12th Ave NW, Ardmore, OK 73401-1285 · (580) 223-6004

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2640 (OK)

Medical Physician Assistant: Definition to come...

16 other providers at this address

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About NPI 1013374271

Shawn Fadum, PA's National Provider Identifier is 1013374271, issued on Jan 19, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ardmore, OK. The record was last updated on Jul 21, 2022.