| Douglas L Shepard Md Pa | |
|
1000 Willow Creek Rd Suite D Prescott AZ 86301-1645 | |
| (480) 985-1093 | |
| Not Available |
| Full Name | Douglas L Shepard Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1000 Willow Creek Rd, Prescott, Arizona |
| Authorized Official Name and Position | Douglas L Shepard (OWNER/PRESIDENT) |
| Authorized Official Contact | 4809851093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas L Shepard Md Pa Po Box 10097 Prescott AZ 86304-0097 Ph: (480) 985-1093 | Douglas L Shepard Md Pa 1000 Willow Creek Rd Suite D Prescott AZ 86301-1645 Ph: (480) 985-1093 |
| NPI Number | 1093803900 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093803900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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