Individual
MR. SCOTT SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5201 LEESBURG PIKE, SKY 3, SUITE 1501, FALLS CHURCH, VA 22041-3203
(703) 681-6405
Mailing address
6520 GREENVIEW LN, SPRINGFIELD, VA 22152-2920
(703) 451-3797
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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