Ellie Shumate

NPI #1023805512 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1023805512
Entity Type: Individual
Name: Ellie Shumate
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Apr 21, 2025
Last Updated: Apr 21, 2025

Practice Location

Address: 3300 NW EXPRESSWAY ST
City: Oklahoma City
State: Oklahoma
ZIP Code: 73112-4418
Phone: (405) 949-3349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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