| 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 |
|---|---|
| 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 |
|---|---|---|---|
| 1992956510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036095033 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |