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Individual

DR. RICHARD K. SHEPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 E MARSHALL ST, RICHMOND, VA 23298-5049
(804) 828-7565
(804) 828-6082
Mailing address
PO BOX 980053, GATEWAY BLDG 3RD FLOOR, RICHMOND, VA 23298-0053
(804) 828-7565
(804) 828-6082

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101051562
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6041141
VA
Enumeration date
10/13/2006
Last updated
01/08/2013
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