Individual
DR. GREGORY LEE SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2240 E. WINROW AVE, US ARMY DENTAL CLINIC COMMAND, FORT HUACHUCA, AZ 85613-7040
(520) 533-3144
Mailing address
PO BOX 1640, HEREFORD, AZ 85615-1640
(520) 249-9879
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3057
AZ
Other
Enumeration date
03/23/2006
Last updated
07/06/2016
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