Individual
STEPHEN ANDREW SHEPRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
104 RUFUS LN, POLSON, MT 59860-8903
(406) 883-2555
(406) 883-2559
Mailing address
2740 SOUTH AVE W STE 101, MISSOULA, MT 59804-5137
(406) 728-6101
(406) 721-3278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
51146
MT
363AS0400X
Surgical Physician Assistant
51146
MT
Other
Enumeration date
02/27/2015
Last updated
09/03/2021
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