Individual
DAVID W SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 S 5TH ST STE 401, ENID, OK 73701-5863
(580) 249-3898
(580) 234-9625
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(580) 249-3898
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23922
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200455120A
—
OK
01
—
P01324122
RR MEDICARE
OK
Enumeration date
02/07/2007
Last updated
08/19/2019
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