Individual provider · Type 1 NPI

Shannon Medley, P.A.-C

Medical Physician Assistant · Edmond, OK

NPI number 1376705806 Active

Practice location

1208 W 15th St
Edmond, OK 73013-3001

Fax (405) 340-1184

Mailing address

530 N Monte Vista, Suite A
Ada, OK 74820-4675

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1614 (OK)

Medical Physician Assistant: Definition to come...

15 other providers at this address

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About NPI 1376705806

Shannon Medley, P.A.-C's National Provider Identifier is 1376705806, issued on Jun 26, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Edmond, OK. The record was last updated on Nov 26, 2014.