Individual
DR. JAIME M SHEPERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
#1 BURDICK EXPY. W., MINOT, ND 58701-4406
(701) 857-5220
(701) 857-5245
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5650
(701) 857-5031
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00042373
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1112SH
REGENCE BLUE SHIELD RIDER
—
05
—
8365926
—
WA
01
—
P00206069
RAILROAD MEDICARE
—
01
—
P00765641
RAILROAD MEDICARE
WA
Enumeration date
03/10/2006
Last updated
01/19/2011
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