Individual provider · Type 1 NPI

Erroll Shepherd Jr.

Clinic/Center · Albuquerque, NM

NPI number 1497517791 Active

Practice location

9416 Lexington Ave NE
Albuquerque, NM 87112-1372

Mailing address

500 4th St NW Ste 102
Albuquerque, NM 87102-2104

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1497517791

Erroll Shepherd Jr.'s National Provider Identifier is 1497517791, issued on Jan 23, 2024. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Albuquerque, NM. The record was last updated on Jan 23, 2024.