Doctor Name: | SHELLEY M SHEPARD |
NPI Number: | 1992701148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 6299A |
Business Practice Address: | 1206 W 4th St Ste 1 Gillette, WY - 827163300 |
Business Phone Number: | 3076850130 |
Business Fax Number: | 3076877243 |
Mailing Address: | Po Box 1601, GILLETTE |
State: | WY |
Postal Code: | 827171601 |
Phone Number: | 3076850130 |
Fax Number: | 3076877243 |
NPI Enumeration Date: | 06/22/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 6299A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |