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Organization

V. JERRY SHEPHERD, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIN M HARPER (CLAIMS MANAGER)
(405) 376-0649
Entity
Organization

Contact information

Practice address
3383 N MERIDIAN AVE, NEWCASTLE, OK 73065-3634
(405) 376-0649
Mailing address
PO BOX 966, MUSTANG, OK 73064-0966
(405) 376-0649

Taxonomy

Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
7344
OK

Other

Enumeration date
06/18/2007
Last updated
08/22/2020
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