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Individual

MARY F. GASKILL-SHIPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
234 GOODMAN ST, RADIOLOGY, CINCINNATI, OH 45219-2364
(513) 584-1584
(513) 584-9100
Mailing address
234 GOODMAN ST, RADIOLOGY, CINCINNATI, OH 45219-2364
(513) 584-1584
(513) 584-9100

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
35-05-1932
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35051932
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000014168
ANTHEM
OH
05
0208428000
WV
05
0660646
OH
05
100020480A
IN
01
1620964
UNITED HEALTHCARE
OH
05
64788680
KY
01
655246
AETNA
OH
Enumeration date
01/26/2006
Last updated
11/02/2016
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