Taylor Shane Shepherd, PA-C | |
789 Washington St W, Vale, OR 97918-1147 | |
(801) 859-2595 | |
Not Available |
Full Name | Taylor Shane Shepherd |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 789 Washington St W, Vale, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043909955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Taylor Shane Shepherd, PA-C 463 Reiter Dr, Ontario, OR 97914-1426 Ph: (801) 859-2595 | Taylor Shane Shepherd, PA-C 789 Washington St W, Vale, OR 97918-1147 Ph: (801) 859-2595 |
Brent Earl Kimbler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 789 Washington St W, Vale, OR 97918 Phone: 541-473-2101 | |
Robert Davis, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 789 Washington West, Vale, OR 97918 Phone: 541-473-2101 Fax: 541-473-2668 |