Individual
JOHN CAMP SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 W SOUTH BOULDER RD, LAFAYETTE, CO 80026-1389
(303) 665-9310
Mailing address
1345 PLAZA CT N STE 1A, LAFAYETTE, CO 80026-2832
(303) 665-3036
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
23339
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01233394
—
CO
Enumeration date
10/12/2005
Last updated
03/07/2023
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