Individual
SAMANTHA SHIPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
405 BUTTERCUP DR, MOUNTAIN HOME, AR 72653
(870) 425-3030
Mailing address
405 BUTTERCUP DR, MOUNTAIN HOME, AR 72653-2910
(870) 425-3030
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E10924
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/28/2015
Last updated
09/25/2018
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