Individual
SHEPHERD G PRYOR V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8952 E DESERT COVE AVE, SUITE 205, SCOTTSDALE, AZ 85260
(480) 273-8688
(480) 723-8689
Mailing address
9097 E DESERT COVE AVE, SUITE 260, SCOTTSDALE, AZ 85260
(480) 273-8688
(480) 273-8689
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
33720
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021655100
—
MN
Enumeration date
12/27/2005
Last updated
09/09/2011
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