Individual provider · Type 1 NPI

Victoria Storm Shepherd, PA

Medical Physician Assistant · Beachwood, OH

NPI number 1396707311 Active

Practice location

4180 Warrensville Center Rd, 120
Beachwood, OH 44122-7024

Fax (440) 834-1902

Mailing address

PO Box 391405
Solon, OH 44139-8405

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X50001447 (OH)

Medical Physician Assistant: Definition to come...

18 other providers at this address

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About NPI 1396707311

Victoria Storm Shepherd, PA's National Provider Identifier is 1396707311, issued on Apr 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Beachwood, OH. The record was last updated on Dec 29, 2009.