Individual
DR. DANIEL P. SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 E STOWELL RD, SANTA MARIA, CA 93454-7001
(805) 347-8779
(805) 614-4933
Mailing address
910 E STOWELL RD, SANTA MARIA, CA 93454-7001
(805) 347-8779
(805) 614-4933
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A69671
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A696710
—
CA
01
—
1312330001
MEDICARE DMERC
CA
01
—
180045185
MEDICARE RAILROAD
CA
Enumeration date
05/24/2005
Last updated
07/29/2015
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