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Individual

DR. JOHN DANIEL SHEPPARD JR.

Active
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Individual

DR. JOHN DANIEL SHEPPARD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101043383
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295959
CIGNA
VA
01
15830
OPTIMA
VA
01
1588663702
VIRGINIA PREMIER
VA
01
180015712
RR MEDICARE
VA
01
332514
ANTHEM BCBS
VA
05
6906436
NC
Enumeration date
07/19/2005
Last updated
10/14/2015
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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