Individual
DR. DALE RANDALL SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
9500 EUCLID AVE, R35, CLEVELAND, OH 44195-0001
(216) 444-2451
(216) 444-9464
Mailing address
9500 EUCLID AVE, R35, CLEVELAND, OH 44195-0001
(216) 444-2451
(216) 444-9464
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35.093461
OH
207RH0003X
Hematology & Oncology Physician
57.007684
OH
Other
Enumeration date
03/06/2008
Last updated
05/27/2009
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