Individual
BENJAMIN W SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
167 SOUTH CONWELL STREET, SUITE 5, CASPER, WY 82601-2791
(307) 234-6988
(307) 472-2854
Mailing address
167 SOUTH CONWELL STREET, SUITE 5, CASPER, WY 82601-2791
(307) 234-6988
(307) 472-2854
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3091A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134272917
—
WY
Enumeration date
07/31/2006
Last updated
10/20/2007
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