Dr Shannon Renae Gulbranson, DC | |
1335 E 11th St Ste A, Tulsa, OK 74120-4634 | |
(918) 005-4452 | |
Not Available |
Full Name | Dr Shannon Renae Gulbranson |
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Gender | Female |
Speciality | Chiropractor |
Location | 1335 E 11th St Ste A, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497965057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3737 (Oklahoma) | Primary |
Provider Name | Healing Life Chiropractic Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972740264 PECOS PAC ID: 1850830118 Enrollment ID: O20240830000033 |
Mailing Address | Practice Location Address |
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Dr Shannon Renae Gulbranson, DC 1335 E 11th St Ste A, Tulsa, OK 74120-4634 Ph: (918) 500-4452 | Dr Shannon Renae Gulbranson, DC 1335 E 11th St Ste A, Tulsa, OK 74120-4634 Ph: (918) 005-4452 |
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