MARTIN ALLEN SHEPHERD

SILVERDALE, WA
NPI1255780946
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2016-06-03
Last Update Date2026-01-26
Business Address
Mr. MARTIN ALLEN SHEPHERD IDC
6401 SKIPJACK CIR
SILVERDALE, WA 98315-6400
Phone number: 360-564-3059
Mailing Address
Mr. MARTIN ALLEN SHEPHERD IDC
4303 S M ST
TACOMA, WA 98418-3708
Phone number: 619-862-9682