Individual
DR. STACIA BROOKE SHIPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4200 S DOUGLAS AVE, #306, OKLAHOMA CITY, OK 73109-3223
(405) 636-7195
(405) 713-7629
Mailing address
4200 S DOUGLAS AVE, #306, OKLAHOMA CITY, OK 73109-3223
(405) 636-7195
(405) 713-7629
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4554
OK
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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