Individual
SHELBY RENEE TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 676-4106
(812) 676-4102
Mailing address
2905 N STONE CARVER DR, BLOOMINGTON, IN 47404-1415
(812) 353-5252
(812) 353-5774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02007102A
IN
207R00000X
Internal Medicine Physician
02007102B
IN
207R00000X
Internal Medicine Physician
BP10072222
TX
Other
Enumeration date
06/10/2020
Last updated
08/19/2024
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