Individual
MATTHEW J SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 E NORTH AVE STE 208, PITTSBURGH, PA 15212-4756
(412) 359-6200
Mailing address
320 E NORTH AVE STE 208, PITTSBURGH, PA 15212-4756
(412) 359-6200
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD473509
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15161540
CAQH
—
Enumeration date
04/28/2013
Last updated
06/09/2021
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