Individual
PAUL DAVID SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3941
Mailing address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3941
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001927
IA
Other
Enumeration date
08/19/2008
Last updated
03/09/2017
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