Individual
DAVID CARLTON SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5550 VESSEY RD, COLORADO SPRINGS, CO 80908-3288
(623) 680-0539
(844) 704-5752
Mailing address
5550 VESSEY RD, COLORADO SPRINGS, CO 80908-3288
(623) 680-0539
(844) 704-5752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02003266A
IN
208M00000X
Hospitalist Physician
02003266
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200908570
—
IN
01
—
P00886777
RAILROAD MEDICARE
IN
Enumeration date
06/09/2008
Last updated
09/19/2018
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