Doctor Name: | DR. SARAH D. SHEPHERD |
NPI Number: | 1003124348 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | DO2307 |
Business Practice Address: | 25 June St Sanford, ME - 040732621 |
Business Phone Number: | 9287572101 |
Business Fax Number: | |
Mailing Address: | 1 Medical Center Dr, BIDDEFORD |
State: | ME |
Postal Code: | 040059422 |
Phone Number: | 2072945000 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2010 |
NPI Last Update Date: | 06/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | DO2307 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |