Individual
DEAN U SHIPPEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 N MAIN AVE, LOVINGTON, NM 88260-2813
(505) 396-7705
(505) 396-4465
Mailing address
PO BOX 2175, PALESTINE, TX 75802-2175
(903) 731-9300
(903) 731-9138
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2002-0107
NM
2085R0202X
Diagnostic Radiology Physician
L3474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70600261
—
NM
Enumeration date
08/16/2005
Last updated
11/13/2007
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