Jonathan Lane Shepard, PA-C

NPI #1205174174 in Cortez, Colorado

Provider Information

NPI Number
1205174174
Entity Type
Individual
Name
Jonathan Lane Shepard, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jan 28, 2013
Last Updated
Nov 5, 2024

Practice Location

Address
1413 N MILDRED RD
City
Cortez
ZIP Code
81321-2258
Phone
(970) 564-1037

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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