Daniel P. Shepard is a Specialist based in Santa Maria, CA. Daniel P. Shepard practices in Santa Maria, CA and has the professional credentials of MD. The NPI Number for Daniel P. Shepard is 1003819863 and holds a License No. A69671 (California).
The current practice location address for Daniel P. Shepard is 910 E Stowell Rd, Santa Maria, CA and can be reached out via phone at 805-347-8779 and via fax at 805-614-4933. You can also correspond with Daniel P. Shepard through the mailing address at 910 E STOWELL RD, SANTA MARIA, CA - 93454-7001 (mailing address contact number: 805-347-8779).
Provider Profile Details
NPI Number
1003819863
Provider Name
Daniel P. Shepard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
910 E Stowell Rd, Santa Maria, CA, 93454-7001
Phone Number
805-347-8779
Fax Number
805-614-4933
Provider Enumeration Date
05/24/2005
Last Update Date
07/29/2015
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A696710 | 05 | CA | |
| 1312330001 | 01 | CA | MEDICARE DMERC |
| 180045185 | 01 | CA | MEDICARE RAILROAD |
Provider Business Practice Location Address Details
Address
910 E Stowell Rd
City
State
Zip
93454-7001
Phone Number
805-347-8779
Fax Number
805-614-4933
Provider Business Mailing Address Details
Address
910 E Stowell Rd
City
State
Zip
93454-7001
Phone Number
805-347-8779
Fax Number
805-614-4933
Provider's Primary Taxonomy Details
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
A69671 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.