Individual
ANDREW J SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-4064
Mailing address
6312 SW CAPITOL HWY # 502, PORTLAND, OR 97239-1938
(503) 464-9034
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0042840
CO
207P00000X
Emergency Medicine Physician
MD00044752
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8427411
—
WA
Enumeration date
07/27/2006
Last updated
12/11/2024
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