Individual
NATHANIEL LEIF SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1235 12TH AVE NW, ARDMORE, OK 73401-1578
(580) 222-0400
Mailing address
1235 12TH AVE NW, ARDMORE, OK 73401-1578
(580) 222-0400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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