Individual
DR. DIANA L SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 444-5093
(479) 587-6105
Mailing address
2438 E FRONTIER ELM DR, FAYETTEVILLE, AR 72703-4948
(321) 544-5060
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E1906
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156173001
—
TX
05
—
2762211100
—
FL
Enumeration date
04/08/2006
Last updated
10/23/2019
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