Dr John Randall Shepherd, MD | |
251 N. Illinois Hwy. 37, Big Muddy Correctional Center, Ina, IL 62846 | |
(618) 437-5300 | |
Not Available |
Full Name | Dr John Randall Shepherd |
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Gender | Male |
Speciality | Family Medicine |
Location | 251 N. Illinois Hwy. 37, Ina, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1992956510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 036095033 (Illinois) | Primary |
Mailing Address | Practice Location Address |
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Dr John Randall Shepherd, MD 5389 Pershing Ave, Unit C, Saint Louis, MO 63112-1758 Ph: (314) 361-8143 | Dr John Randall Shepherd, MD 251 N. Illinois Hwy. 37, Big Muddy Correctional Center, Ina, IL 62846 Ph: (618) 437-5300 |