Douglas Shepherd, PT | |
524 E 800 N, Ogden, UT 84404-3600 | |
(801) 782-3740 | |
Not Available |
Full Name | Douglas Shepherd |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 31 Years |
Location | 524 E 800 N, Ogden, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215962337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4929944-2401 (Utah) | Primary |
Provider Name | Corpus Sanum Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386022036 PECOS PAC ID: 9133440993 Enrollment ID: O20150604001649 |
Mailing Address | Practice Location Address |
---|---|
Douglas Shepherd, PT 3031 N 1300 E, North Ogden, UT 84414-1817 Ph: (801) 781-0651 | Douglas Shepherd, PT 524 E 800 N, Ogden, UT 84404-3600 Ph: (801) 782-3740 |
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