Individual
DR. RONALD G SHEPHERD
Active
Individual
DR. RONALD G SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
AO5839
IA
111NX0800X
Orthopedic Chiropractor
AO5839
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132407
—
IA
01
—
50512
BLUE CROSS BLUE SHEILD
IA
Enumeration date
06/10/2005
Last updated
05/13/2022
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