Individual
ERROLL SHEPHERD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9416 LEXINGTON AVE NE, ALBUQUERQUE, NM 87112-1372
(702) 502-7022
Mailing address
500 4TH ST NW STE 102, ALBUQUERQUE, NM 87102-2104
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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