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Peter M. Shepard, MD
Otolaryngology/Facial Plastic Surgery Physician in Los Alamos, New Mexico
NPI 1023051232

Peter M. Shepard is a Otolaryngology/Facial Plastic Surgery Physician based in Spanish Fork, NM and is specialized in Otolaryngology/Facial Plastic Surgery. Peter M. Shepard practices in Los Alamos, NM and has the professional credentials of MD. The NPI Number for Peter M. Shepard is 1023051232 and holds a License No. MD2009-0111 (New Mexico).

The current practice location address for Peter M. Shepard is 3917 West Rd, Los Alamos, NM and can be reached out via phone at 505-661-4147.

Location: 3917 West Rd, Los Alamos, NM, 84660-1008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023051232
Provider Name
Peter M. Shepard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3917 West Rd, Los Alamos, NM, 84660-1008
Phone Number
505-661-4147
Fax Number
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3917 West Rd
City
Los Alamos
State
New Mexico
Zip
87544-5301
Phone Number
505-661-4147
Fax Number
person
Provider Business Mailing Address Details
Address
3917 West Rd
City
Los Alamos
State
New Mexico
Zip
87544-5301
Phone Number
505-661-4147
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
MD2009-0111 (New Mexico)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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