Individual
MARK SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 VAN VOORHIS RD STE 2, MORGANTOWN, WV 26505-3530
(304) 212-5679
Mailing address
1212 VAN VOORHIS RD STE 2, MORGANTOWN, WV 26505-3530
(304) 212-5679
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
96211
WV
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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