# PAIN AND SPINE MEDICINE CENTER OF THE CENTRAL COAST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841395944
- **Authorized official:** DR. ANTHONY W. SHEPLAY MD (PRESIDENT)
- **Authorized official phone:** (805) 434-0781

## Contact information

- **Practice address:** 1105 LAS TABLAS RD, SUITE D, TEMPLETON, CA 93465-9731
- **Practice address phone:** (805) 434-0781
- **Practice address fax:** (805) 434-0489
- **Mailing address:** 1105 LAS TABLAS RD, SUITE D, TEMPLETON, CA 93465-9731
- **Mailing address phone:** (805) 434-0781
- **Mailing address fax:** (805) 434-0489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 09/16/2013