Individual
DR. BRADLEY MARK SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
205 BOUTZ ROAD, BUILDING 4 SUITE 2, LAS CRUCES, NM 88005
(575) 915-1550
Mailing address
731 WINDMILL DR, LAS CRUCES, NM 88011-8042
(801) 833-9662
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
14070
TX
111N00000X
Chiropractor
Primary
2107
NM
111N00000X
Chiropractor
71183171202
UT
Other
Enumeration date
09/30/2008
Last updated
07/21/2022
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