NPI | 1447601968 |
---|---|
Other Name | CRAIG SHIELDS SOLE MBR |
Entity Type | Organization |
Authorized Contact | JESSICA RAE HUNN Medical Director 385-347-5450 |
Organization Subpart ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: UT 6019946125) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2017-02-15 |