Individual
SARAH REBECCA MARIETTI SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7920 FROST ST, STE 200, SAN DIEGO, CA 92123-2736
(858) 279-8527
(858) 966-8479
Mailing address
3860 CALLE FORTUNADA, STE #210, SAN DIEGO, CA 92123-4802
(858) 309-6303
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
A106447
CA
2088P0231X
Pediatric Urology Physician
Primary
A106447
CA
Other
Enumeration date
07/08/2007
Last updated
11/17/2011
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