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Individual

WINSTON DEAN SHIPLEY II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4120 W MEMORIAL RD, #218, OKLAHOMA CITY, OK 73120
(405) 302-2661
(405) 302-2670
Mailing address
4401 W MEMORIAL RD, SUITE 140, OKLAHOMA CITY, OK 73134-1785
(405) 752-3162
(405) 936-5211

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
15331
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100136990A
OK
Enumeration date
02/03/2006
Last updated
09/16/2014
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