Individual
CLINT SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 MEDICAL PARK, SUITE 306, WHEELING, WV 26003-6390
(304) 243-7030
(304) 243-4282
Mailing address
20 MEDICAL PARK, SUITE 306, WHEELING, WV 26003-6390
(304) 243-7030
(304) 243-4282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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