Healthcare Provider Details

I. General information

NPI: 1366472284
Provider Name (Legal Business Name): APRIL SHEA BOWLING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: APRIL SHEA ENLOW

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 02/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4444 E 41ST ST
TULSA OK
74135-2527
US

IV. Provider business mailing address

PO BOX 268838
OKLAHOMA CITY OK
73126-8838
US

V. Phone/Fax

Practice location:
  • Phone: 918-619-4400
  • Fax: 918-619-4334
Mailing address:
  • Phone: 918-660-3632
  • Fax: 918-660-3631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number21763
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: