Individual
MR. BRIAN ALAN SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
2220 SYBEL DR, MOBILE, AL 36693-3103
(251) 648-4389
Mailing address
2220 SYBEL DR, MOBILE, AL 36693-3103
(251) 648-4389
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
AL
Other
Enumeration date
10/12/2012
Last updated
11/02/2012
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