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Individual

DR. SUZANNE MARIE SHEPHERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
500 S UNIVERSITY AVE STE 101, LITTLE ROCK, AR 72205-5314
(501) 664-3914
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1309

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A110874
CA
2085R0202X
Diagnostic Radiology Physician
Primary
CDRH.0054631
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029260
KAISER COMMERCIAL NUMBER
CO
Enumeration date
08/13/2008
Last updated
05/01/2023
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