NPI 1073321352

Samuel Shepherd

Practitioner Driver Columbus, OH

Practice location

Address: 1033 College Ave, Columbus, OH 43209-7801
Phone: (614) 516-3972

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence RUALSKLK (OH)

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Registry record

NPI: 1073321352
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2024
Record last updated: 19 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.