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Last Update: Saturday, May 18, 2024 7:03 PM CDT
Next Update: Sunday, May 19, 2024 2:50 AM CDT
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|
SHAW, TANNA MARIE
|
| Practice Address: |
15318 N MAY AVE
SUITE B
EDMOND OK 73013
Address last updated on 9/17/2023 |
| Phone #: |
(405) 970-8020 |
| Fax #: |
(405) 970-8025 |
| County: |
OKLAHOMA |
| License: |
20758 |
| Dated: |
7/20/1998 |
| Expires: |
7/1/2024 |
|
Temp.
Lic.
Issued:
|
7/1/1997 |
|
Temp.
Lic.
Expires:
|
8/1/1998 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1997 |
| CME Year: |
2025 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
|
|
Primary Supervisees(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
KRYSTABEL SNODGRASS
|
APRN |
92246 |
|
|
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