Individual
MARY STARR SCHIPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LAS VEGAS CLINIC FOR CHILDREN & YOUTH, 501 7TH STREET, LAS VEGAS, NM 87701-3993
(505) 425-3566
(505) 425-3568
Mailing address
2910 8TH STREET, LAS VEGAS, NM 87701-3993
(505) 425-2985
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12493
WV
208000000X
Pediatrics Physician
Primary
20030522
NM
208000000X
Pediatrics Physician
D0027946
MD
208000000X
Pediatrics Physician
MD021090E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49395
—
NM
Enumeration date
10/18/2006
Last updated
07/08/2007
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