Individual
MR. JOSHUA ERIC SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 525-1234
Mailing address
5699 US ROUTE 60, HUNTINGTON, WV 25705-2145
(304) 736-6126
(304) 736-1531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
64436
WV
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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