Individual
SANDRA LAUREN SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2825 FORT MISSOULA RD STE 115, MISSOULA, MT 59804-7403
(406) 541-9222
(406) 541-9223
Mailing address
2825 FORT MISSOULA RD STE 115, MISSOULA, MT 59804-7403
(406) 541-9222
(406) 541-9223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11067
MT
207V00000X
Obstetrics & Gynecology Physician
11067
MT
Other
Enumeration date
10/02/2006
Last updated
07/21/2022
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