NPI 1023051232

Peter M. Shepard, MD

Practitioner Otolaryngology/Facial Plastic Surgery Physician Los Alamos, NM

Practice location

Address: 3917 West Rd STE 200, Los Alamos, NM 87544-5301
Phone: (505) 661-4147
Mailing address: 1620 N Main St, Spanish Fork, UT 84660-1008

Registered specialties

Otolaryngology/Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence MD2009-0111 (NM)

Other Otolaryngology providers in New Mexico →

Registry record

NPI: 1023051232
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2006
Record last updated: 16 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.