NPI | 1982662771 |
---|---|
Doing Business As | SHEPARD EYE CENTER MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | DENNIS SHEPARD President 805-614-7005 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 050000322) |
Enumeration Date | 2006-05-02 |
Last Update Date | 2008-04-24 |