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Individual

DAN SHEPPARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1133 CAMELBACK ST, BOX 8316, NEWPORT BEACH, CA 92658-1200
(949) 387-0456
Mailing address
PO BOX 8316, NEWPORT BEACH, CA 92658-8316
(949) 387-0456

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
DC27861
CA

Other

Enumeration date
05/27/2008
Last updated
01/23/2013
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