Individual
DR. DOUGLAS MITCHELL SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
341 N CALVERT ST, SUITE 300, BALTIMORE, MD 21202-3633
(410) 986-4400
(410) 986-4411
Mailing address
341 N CALVERT ST, SUITE 300, BALTIMORE, MD 21202-3633
(410) 986-4400
(410) 986-4411
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0040555
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10415312
CAQH
MD
01
—
521501
CAREFIRST
MD
Enumeration date
07/17/2006
Last updated
01/19/2016
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