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Scott R Shepard, MD

Neurological Surgery in Philadelphia, PA. Individual provider (NPI-1).

NPI number1346359841
StatusActive
Last updated in NPPESJan 18, 2017

Details

NPI
1346359841
Entity type
Individual (NPI-1)
Name
Scott R Shepard
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 29, 2006
Last updated
Jan 18, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological SurgeryMD459537PAYes
207T00000X Neurological SurgeryMA067529NJ
207T00000X Neurological SurgeryN0457TX

Practice location

3509 N Broad St
Suite 724
Philadelphia, PA 19140-4105

Phone 215-707-7200 · Fax 215-707-3831

Mailing address

2450 W Hunting Park Ave
Ste R.705
Philadelphia, PA 19129-1302

Phone 215-707-7200 · Fax 215-707-3831

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