Organization
DOUGLAS L SHEPARD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS L SHEPARD MD (OWNER/PRESIDENT)
(480) 985-1093
Entity
Organization
Contact information
Practice address
1000 WILLOW CREEK RD, SUITE D, PRESCOTT, AZ 86301-1645
(480) 985-1093
Mailing address
PO BOX 10097, PRESCOTT, AZ 86304-0097
(480) 985-1093
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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