Individual
BRET E. SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4400 WILL ROGERS PKWY, 105, OKLAHOMA CITY, OK 73108
(405) 951-2815
(405) 948-6507
Mailing address
PO BOX 840848, DALLAS, TX 75284-0848
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20935
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100848100A
—
OK
01
—
731451967001
BCBS GRP BILLING #
—
Enumeration date
05/30/2006
Last updated
05/22/2018
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