Individual
STANLEY O. SHEPARDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2275 NE DOCTORS DR, SUITE 6, BEND, OR 97701-6324
(541) 389-3166
Mailing address
2275 NE DOCTORS DR, SUITE 6, BEND, OR 97701-6324
(541) 389-3166
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD07630
OR
Other
Enumeration date
12/05/2005
Last updated
07/08/2007
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