Peter M. Shepard
Otolaryngology/Facial Plastic Surgery
3917 West Rd Ste 200
Los Alamos
, New Mexico 87544-5301
Peter M. Shepard
Otolaryngology/Facial Plastic Surgery
3917 West Rd Ste 200
Los Alamos
, New Mexico 87544-5301
(801) 822-2234
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Peter M. Shepard
- 1620 N Main St
- Spanish Fork, UT
- Zip : 84660-1008
- Phone : (801) 822-2234
Second Address
- Peter M. Shepard
- 3917 West Rd Ste 200
- Los Alamos, NM
- Zip : 87544-5301
- Phone : (505) 661-4147
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD2009-0111 | NM |
National Provider Identifier
| NPI | 1023051232 |
|---|---|
| Provider Name | Peter M. Shepard |
| First Address | Spanish Fork, UT 84660-1008 |
| Second Address | Los Alamos, NM 87544-5301 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 16/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.