Organization
MICHAEL SHIPP DMD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHIPP DMD (PRESIDENT/OWNER)
(208) 938-9912
Entity
Organization
Contact information
Practice address
6085 N EAGLE RD, BOISE, ID 83713-0997
(208) 938-9912
Mailing address
6085 N EAGLE RD, BOISE, ID 83713-0997
(208) 938-9912
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
D4172
ID
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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