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Individual

DR. BENJAMIN DAVID SHEPHERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 SIVLEY RD SW STE 530, HUNTSVILLE, AL 35801-5163
(256) 265-7480
(256) 265-7481
Mailing address
201 SIVLEY RD SW STE 530, HUNTSVILLE, AL 35801-5163

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
T-2717
MS
2086S0129X
Vascular Surgery Physician
Primary
MD.40425
AL

Other

Enumeration date
06/30/2013
Last updated
06/16/2020
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