Individual
JAMES A. SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4755 OGLETOWN-STANTON ROAD, SUITE 5A43, NEWARK, DE 19718-2200
(302) 623-0188
(302) 733-5640
Mailing address
200 HYGEIA DRIVE, SUITE 2300 CCHS PHYSICIAN CONTRACTING, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C2-0012021
DE
207R00000X
Internal Medicine Physician
UO4017
FL
Other
Enumeration date
05/27/2014
Last updated
07/07/2017
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