Individual
KRISTINA SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 728-3974
Mailing address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 728-3974
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
CA
Other
Enumeration date
09/27/2013
Last updated
07/16/2019
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