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Search › Oklahoma › 363LA2100X

Dylan Shockley

NPI 1588295836 · on the registry since 2020 · sole proprietor

Practice

Address
1125 N Porter Ave Ste 301
Norman, OK 73071
Phone
(405) 503-0366
Organisation at this address
Kumar B Ennamuri
Gi Of Norman, Llc
Primarypractice Llc
Norman Open Mri, Llc
Norman Neurology Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma