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Individual

DR. EVAN SHEPPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 MICHIGAN AVE NW, FLOOR 3.5 WEST WING SUITE 600, WASHINGTON, DC 20010-2916
(202) 476-5992
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3300
(703) 776-4001
(703) 776-7113

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101270407
VA
207XP3100X
Pediatric Orthopaedic Surgery Physician
MD047149
DC

Other

Enumeration date
05/01/2014
Last updated
02/17/2022
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