Organization
SANDY SHEPPARD OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY SHEPPARD OD (OPTOMETRIST)
(406) 549-4851
Entity
Organization
Contact information
Practice address
700 SOUTH AVE W, STE. G, MISSOULA, MT 59801-8000
(406) 549-4851
(406) 549-8486
Mailing address
700 SOUTH AVE W, STE. G, MISSOULA, MT 59801-8000
(406) 549-4851
(406) 549-8486
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0494
MT
Other
Enumeration date
09/20/2007
Last updated
05/26/2010
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