Individual
DANIEL L SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3336 N FUTRALL DRIVE, FAYETTEVILLE, AR 72703
(479) 463-3000
(479) 463-3050
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
55460
MN
207T00000X
Neurological Surgery Physician
Primary
E-11111
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2011
Last updated
11/07/2019
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