SAMUEL SHEPARD

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1730842840

Practice Address

405 W GRAND AVE
Dayton, OH 45405

Phone: (937) 723-3200

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1730842840 is the National Provider Identifier for SAMUEL SHEPARD, a Student in an Organized Health Care Education/Training Program provider located in Dayton, OH. This NPI was enumerated on October 15, 2021.
SAMUEL SHEPARD practices at 405 W GRAND AVE, Dayton, OH 45405.

Quick Facts

NPI
1730842840
Type
Individual
Enumerated
Oct 15, 2021
Last Updated
Mar 19, 2024