Individual
LAUREL A SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 FORT UNION BLVD STE 125, URGENT CARE ADMIN, MIDVALE, UT 84047-1871
(801) 233-4400
Mailing address
1225 FORT UNION BLVD STE 125, URGENT CARE ADMINISTRATION, MIDVALE, UT 84047-1871
(801) 233-4400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
901835821205
UT
Other
Enumeration date
08/16/2006
Last updated
07/20/2012
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