Individual
TIMOTHY SHIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
101 MSGT DAN WASSOM ROAD, LITTLE ROCK AFB, AR 72099-0001
(501) 987-6951
Mailing address
101 MSGT DAN WASSOM ROAD, LITTLE ROCK AFB, AR 72099-0001
(501) 987-6951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-500
AR
Other
Enumeration date
11/08/2012
Last updated
07/01/2025
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