Douglas L Shepard Md Pa

NPI 1093803900 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1093803900
Enumeration Date 10/10/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DOUGLAS L DOUGLAS
Position OWNER/PRESIDENT
Phone (480) 985-1093
Fax
Practice Location
1000 WILLOW CREEK RD
SUITE D
PRESCOTT AZ, 86301-1645, US
Phone (480) 985-1093
Fax
Business Location
PO BOX 10097
PRESCOTT AZ, 86304-0097, US
Phone (480) 985-1093
Fax
Toxanomy
Taxonomy Code 2084N0400X
License State
License Number
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According to our database, Douglas L Shepard Md Pa NPI is 1093803900, taxonomy code is 2084N0400X Douglas L Shepard Md Pa physically located at 1000 Willow Creek Rd, Prescott AZ, 86301-1645. NPI Number 1033115704 has the healthcare provider type.

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1093803900 NPI number is provided on an as is basis without warranty of any kind. 1093803900 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas L Shepard Md Pa are for informational purposes only.