Individual
DR. GEORGE SHEPARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MBA
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85338-2618
(623) 882-1500
Mailing address
1123 W PALO VERDE DR, PHOENIX, AZ 85013-1633
(602) 256-7778
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20925
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118861
—
AZ
01
—
3981220
EVERCARE GROUP
AZ
01
—
453051001
GROUP HEALTH GROUP
AZ
01
—
860373636
HUMANA GROUP
AZ
01
—
AW1436
HEALTHNET GROUP
AZ
01
—
AZ0728670
BLUE CROSS BLUE SHIELD GR
AZ
Enumeration date
12/01/2005
Last updated
11/13/2007
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