Individual
RYAN SHIBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 N 7TH ST, WEST MEMPHIS, AR 72301-2017
(870) 394-7800
Mailing address
82 T CROWE RD, SODDY DAISY, TN 37379-7308
(760) 636-6741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
67565
TN
207Q00000X
Family Medicine Physician
Primary
E-20029
AR
Other
Enumeration date
04/05/2019
Last updated
01/03/2026
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