Darrell Ray Shelton II

NPI #1083307623 in Tulsa, Oklahoma

Provider Information

NPI Number: 1083307623
Entity Type: Individual
Name: Darrell Ray Shelton II
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: May 30, 2023
Last Updated: May 30, 2023

Practice Location

Address: 4207 E 64TH ST
City: Tulsa
State: Oklahoma
ZIP Code: 74136-1651
Phone: (539) 292-2908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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