Individual
THOMAS AKERS SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4112 OUTLOOK BLVD, SUITE 37, PUEBLO, CO 81008-1667
(719) 562-6300
(719) 562-6375
Mailing address
4112 OUTLOOK BLVD, SUITE 37, PUEBLO, CO 81008-1667
(719) 562-6300
(719) 562-6375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
64
CO
Other
Enumeration date
03/07/2007
Last updated
03/15/2010
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