Individual
LANDRY SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1575 N SANTA FE AVE, EDMOND, OK 73003-3638
(405) 285-0660
Mailing address
16612 VALLEY CRST, EDMOND, OK 73012-6723
(501) 827-4024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7762
OK
Other
Enumeration date
05/06/2021
Last updated
07/29/2024
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