RUSSELL B SHIELDS MD PC

Family Medicine

Active Organization
NPI: 1477543213

Practice Address

425 MEDICAL DR
STE 108
Bountiful, UT 84010

Phone: (801) 292-8444

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes -

Frequently Asked Questions

NPI 1477543213 is the National Provider Identifier for RUSSELL B SHIELDS MD PC, a Family Medicine provider located in Bountiful, UT. This NPI was enumerated on October 24, 2005.

Quick Facts

NPI
1477543213
Type
Organization
Enumerated
Oct 24, 2005
Last Updated
Apr 8, 2008

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