Jeanne Prusa Shepherd in Fontana - Plastic Surgery Within The Head & Neck

Jeanne Prusa Shepherd - NPI 1689741563

Jeanne Prusa Shepherd is a Plastic Surgery Within The Head & Neck in Fontana, California. Jeanne Prusa Shepherd practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Jeanne Prusa Shepherd is 1689741563. The last update date is 2008-09-23.

Jeanne Prusa Shepherd's current location address is 9961 Sierra Ave, Fontana, California. You can contact this provider via phone number 9094273910. The mailing address for Jeanne Prusa Shepherd is 9961 Sierra Ave, Fontana, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeanne Prusa Shepherd
Address 9961 Sierra Ave, Fontana, California
Phone Number 9094273910
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1689741563
Provider Enumeration Date 2006-11-29
Last Updated Date 2008-09-23

Provider Mailing Address Detail

Address 9961 Sierra Ave
City Fontana
State California (CA)
Post Code 923356720
Phone Number 9094273910
Fax Number

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery Within The Head & Neck
Taxonomy 207Yx0007X
Licence No G60529
Definition:
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu

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FAQs about Jeanne Prusa Shepherd

What is the unique 10-digit identification code assigned to Jeanne Prusa Shepherd by the Centers for Medicare & Medicaid Services?

The Jeanne Prusa Shepherd has been issued the NPI (National Provider Identifier) 1689741563, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jeanne Prusa Shepherd is physically located?

The Jeanne Prusa Shepherd is situated at the following address: 9961 Sierra Ave, Fontana, CA 923356720.

What is Jeanne Prusa Shepherd's area of expertise and its corresponding taxonomy classification?

The Jeanne Prusa Shepherd's field of specialization is Plastic Surgery Within The Head & Neck, and it falls under the taxonomy code 207Yx0007X, which categorizes healthcare providers based on their areas of practice.

On what date did the Jeanne Prusa Shepherd receive the assignment of its 1689741563 from the Centers for Medicare & Medicaid Services?

The Jeanne Prusa Shepherd was issued its 1689741563 by the Centers for Medicare & Medicaid Services on 2006-11-29.

When was the information regarding Jeanne Prusa Shepherd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jeanne Prusa Shepherd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-09-23.

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