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DOUGLAS L SHEPARD MD PA NPI 1093803900


NPI Information

NPI: 1093803900
Provider Name: DOUGLAS L SHEPARD MD PA
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1000 WILLOW CREEK RD
SUITE D
PRESCOTT, AZ
ZIP 86301
Phone: (480) 985-1093
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DOUGLAS L SHEPARD MD PA is a neurology psychiatry neurology in Prescott, AZ. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DOUGLAS L SHEPARD MD PA NPI is 1093803900. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 WILLOW CREEK RD
SUITE D
PRESCOTT, AZ
ZIP 86301-645
Phone: (480) 985-1093

The provider's authorized official is Douglas L Shepard .
The authorized official title is Owner/president and has the following contact phone number (480) 985-1093.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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