Individual
DR. CHRISTOPHER RYAN SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.087635
OH
207R00000X
Internal Medicine Physician
Primary
MD2007-0018
NM
Other
Enumeration date
11/29/2006
Last updated
06/10/2019
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