Individual
DR. MCLEAN SHEPERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18640
SC
207N00000X
Dermatology Physician
Primary
18640
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186408
—
SC
Enumeration date
06/13/2006
Last updated
10/04/2016
Update your record
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