Individual
DR. ALISSA SABATINO SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 943-2000
Mailing address
2512 CHARDONNAY LN, LODI, CA 95242-8201
(602) 819-1145
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A21055
CA
208600000X
Surgery Physician
R3630
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2021
Last updated
02/28/2025
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