# SHELLEY M. SHEPARD M.D.P.C.

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

## Provider details

- **NPI number:** 1922285295
- **Authorized official:** DR. SHELLEY M. SHEPARD M.D. (PHYSICIAN)
- **Authorized official phone:** (307) 685-0130

## Contact information

- **Practice address:** 1206 W 4TH ST, SUITE 1, GILLETTE, WY 82716-3300
- **Practice address phone:** (307) 685-0130
- **Practice address fax:** (307) 687-7243
- **Mailing address:** PO BOX 1601, GILLETTE, WY 82717-1601
- **Mailing address phone:** (307) 685-0130
- **Mailing address fax:** (307) 687-7243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 6299A | WY | Yes |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 01/29/2008