Individual
SHELLEY M SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1206 W 4TH ST, STE 1, GILLETTE, WY 82716-3300
(307) 685-0130
(307) 687-7243
Mailing address
PO BOX 1601, GILLETTE, WY 82717-1601
(307) 685-0130
(307) 687-7243
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6299A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119692800
—
WY
Enumeration date
06/22/2005
Last updated
07/08/2007
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