Individual
MR. MARTIN ALLEN SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
6401 SKIPJACK CIR, SILVERDALE, WA 98315-6400
(360) 564-3059
Mailing address
4303 S M ST, TACOMA, WA 98418-3708
(619) 862-9682
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/03/2016
Last updated
01/26/2026
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