GROVER GENE SHIPMAN

MOUNT SHASTA, CA
NPI1104929017
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: OR  MD25595)
Enumeration Date2006-09-06
Last Update Date2008-07-02
Business Address
-- GROVER GENE SHIPMAN MD
914 PINE STREET
MOUNT SHASTA, CA 96067-2143
Phone number: 530-926-6111
Mailing Address
-- GROVER GENE SHIPMAN MD
P.O. BOX 12259
WESTMINSTER, CA 92685-2259
Phone number: 888-634-8405
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