Mercer, Shelly Bowles

Mercer, Shelly Bowles is an individual health care provider with primary practice located at 4444 E 41St St , Tulsa OK 74135-2527. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Mercer, Shelly Bowles can be contacted via phone (918) 619-4400.

Contact Information

Primary practice address
4444 E 41St St Tulsa OK 74135-2527
Phone: (918) 619-4400
Fax: (918) 619-4801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 33525 Oklahoma

Profile Details

NPI number 1770840126
LBN Legal business name Mercer, Shelly Bowles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2012
Last updated Sep 8th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770840126 NPPES
Oklahoma MEDICAID 200775570A

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