Dr. Shane Marshall
Emergency Physician Emergency Medical Services
4813 S 187th East Ave
Tulsa
, Oklahoma 74134-7203
Dr. Shane Marshall
Emergency Physician Emergency Medical Services
4813 S 187th East Ave
Tulsa
, Oklahoma 74134-7203
(208) 371-5536
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. Shane Marshall
- 4813 S 187th East Ave
- Tulsa, OK
- Zip : 74134-7203
- Phone : (208) 371-5536
Second Address
- Dr. Shane Marshall
- 4813 S 187th East Ave
- Tulsa, OK
- Zip : 74134-7203
- Phone : (208) 371-5536
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | DO184177 | OR |
| N | 207PE0004X | Emergency Medical Services | 4925 | OK |
National Provider Identifier
| NPI | 1073819314 |
|---|---|
| Provider Name | Dr. Shane Marshall |
| First Address | Tulsa, OK 74134-7203 |
| Second Address | Tulsa, OK 74134-7203 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2011 |
| Last Update Date | 04/10/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.