Individual
DONNA M SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4003 MASSARD RD, FORT SMITH, AR 72903
(479) 226-3836
(479) 434-5987
Mailing address
4003 MASSARD RD, FORT SMITH, AR 72903
(479) 226-3836
(479) 434-5987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E5602
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169634001
—
AR
05
—
200202370A
—
OK
Enumeration date
02/16/2007
Last updated
07/21/2014
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