Individual
DR. CHASE DOUGLAS SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
775 E WILLETTA ST, PHOENIX, AZ 85006-2723
(480) 581-3900
Mailing address
10236 N TALL COTTON DR, MARANA, AZ 85653-7919
(520) 305-1816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-033338
AZ
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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