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PATRICK BOYD SHEPHERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 792-1703
(435) 792-1647
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 792-1703
(435) 792-1647

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7141545-4901
UT

Other

Enumeration date
10/08/2009
Last updated
10/08/2009
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