Organization
F E SHEPARD JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELIX E. SHEPARD JR. (OWNER)
(276) 679-7600
Entity
Organization
Contact information
Practice address
1412 PARK AVE NW, NORTON, VA 24273-1602
(276) 679-7600
(276) 679-0738
Mailing address
1412 PARK AVE NW, PO BOX 681, NORTON, VA 24273-1602
(276) 679-7600
(276) 679-0738
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
208800000X
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010124018
—
VA
Enumeration date
10/12/2007
Last updated
06/16/2008
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