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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAWN FADUM, PA

Active

SHAWN FADUM, PA is a Medical Physician Assistant healthcare provider located in ARDMORE, Oklahoma. NPI 1013374271 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · ARDMORE, OK

Registration Details

NPI Number
1013374271
Provider Type
Individual
Gender
Male
NPI Issued
Jan 19, 2016 (10.559020579762 yrs)
Last Updated
Jul 21, 2022
License
2640 (OK)

Practice Information

Address
1104 WALNUT DR
ARDMORE, OK, 734012353
Browse OK providers · Browse ZIP 73401
Phone
5802260543
Fax
5802262284
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in ARDMORE, OK

Name Credential NPI
MEGAN CATHERINE HOFFIELD P.A. 1285713065
MR. JOHN THOMAS PAUL PA 1760561351
BARBARA MICHELLE CHAPMAN PA 1316250418
STEPHEN VANCE PAUL PA 1659666428
MR. SCOTT ALLEN COOPER PA-C 1427335348
RHEA MICHELLE BUYCKS PA-C 1013288687
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.