Shannen Michon Peters

NPI #1679825806 in Tulsa, Oklahoma

Provider Information

NPI Number: 1679825806
Entity Type: Individual
Name: Shannen Michon Peters
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Oct 11, 2012
Last Updated: Oct 11, 2012

Practice Location

Address: 1822 E YOUNG ST
City: Tulsa
State: Oklahoma
ZIP Code: 74110-2050
Phone: (972) 388-6608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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