IndividualActive
Martin Shepherd, IDC
NPI 1255780946 · Independent Duty Corpsman · Silverdale, WA
Provider details
- NPI number
- 1255780946
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
6401 Skipjack Cir
Silverdale, WA 98315-6400
Phone: (360) 564-3059
Approximate (ZIP-level) locationGet directions
Mailing address
4303 S M St
Tacoma, WA 98418-3708
Registry dates
- Enumerated
- 2016-06-03
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.