SearchOklahoma106H00000X

Mitchell Deshazer

NPI 1700303575 · on the registry since 2017

Practice

Address
23 E 9th St Ste 319
Shawnee, OK 74801
Phone
(405) 240-9370
Organisation at this address
Pioneer
Hadley Ventures, Inc
Jonathan D Cargill, Phd, Inc
Global Physician Services Llc
Steven James Randolph Lcsw-Acsw
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-18

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