person
Samuel Lee Shepard
Student in an Organized Health Care Education/Training Program in Dayton, Ohio
NPI 1730842840

Samuel Lee Shepard is a Student in an Organized Health Care Education/Training Program based in Tulsa, OH. Samuel Lee Shepard practices in Dayton, OH. The NPI Number for Samuel Lee Shepard is 1730842840 and holds a License No. (Ohio).

The current practice location address for Samuel Lee Shepard is 405 W Grand Ave, Dayton, OH and can be reached out via phone at 937-723-3200.

Location: 405 W Grand Ave, Dayton, OH, 74107-1886
person
Provider Profile Details
NPI Number
1730842840
Provider Name
Samuel Lee Shepard
Credential
Provider Entity Type
Individual
Gender
Male
Address
405 W Grand Ave, Dayton, OH, 74107-1886
Phone Number
937-723-3200
Fax Number
Provider Enumeration Date
10/15/2021
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
405 W Grand Ave
City
State
Zip
45405-7538
Phone Number
937-723-3200
Fax Number
person
Provider Business Mailing Address Details
Address
405 W Grand Ave
City
State
Zip
45405-7538
Phone Number
937-723-3200
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Oklahoma)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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