IndividualActive
Peter Shepard, M.D.
NPI 1023051232 · Otolaryngology/Facial Plastic Surgery Physician · Los Alamos, NM
Provider details
- NPI number
- 1023051232
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD2009-0111 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3917 West Rd
Ste 200
Los Alamos, NM 87544-5301
Phone: (505) 661-4147
Approximate (ZIP-level) locationGet directions
Mailing address
1620 N Main St
Spanish Fork, UT 84660-1008
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2020-12-16
- Certified
- 2020-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.