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Contact Information

WILLIAM R SHEPARD, DO
1139 3RD ST
SOUTH LAKE TAHOE, CA96150
 Phone: 530-543-5691
 Fax: 530-542-2872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WILLIAM R SHEPARD · (Male)

NPI Number 1427310895
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/12/2012
Last updated 08/28/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A16448
  • NV License # DO2454
Hospital affiliation(s)
  • BARTON MEMORIAL HOSPITAL - (Acute Care)
    2170 SOUTH AVENUE
    SOUTH LAKE TAHOE, CA 96150
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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