| 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 |