MRS. Shannon Grist Stephens

NPI #1396092482 in Atoka, Oklahoma

Provider Information

NPI Number: 1396092482
Entity Type: Individual
Name: MRS. Shannon Grist Stephens
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 8, 2012
Last Updated: Aug 8, 2012

Practice Location

Address: 660 BIG SLOUGH RD.
City: Atoka
State: Oklahoma
ZIP Code: 74525-0000
Phone: (580) 364-4257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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