person
Mr. John Joseph Sheppard, PA-C
Medical Physician Assistant in Wading River, New York
NPI 1386981090

John Joseph Sheppard is a Medical Physician Assistant based in Wading River, NY and is specialized in Medical. John Joseph Sheppard practices in Wading River, NY and has the professional credentials of PA-C. The NPI Number for John Joseph Sheppard is 1386981090 and holds a License No. 016308-1 (New York).

The current practice location address for John Joseph Sheppard is 42 Deane St, Wading River, NY and can be reached out via phone at 631-456-9748.

Location: 42 Deane St, Wading River, NY, 11792-1805
person
Provider Profile Details
NPI Number
1386981090
Provider Name
John Joseph Sheppard
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
42 Deane St, Wading River, NY, 11792-1805
Phone Number
631-456-9748
Fax Number
Provider Enumeration Date
01/15/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
42 Deane St
City
State
Zip
11792-1805
Phone Number
631-456-9748
Fax Number
person
Provider Business Mailing Address Details
Address
42 Deane St
City
State
Zip
11792-1805
Phone Number
631-456-9748
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
016308-1 (New York)
Definition
Definition to come...
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