RUSSELL B SHIELDS MD PC

BOUNTIFUL, UT
NPI1477543213
Entity TypeOrganization
Authorized ContactRUSSELL BRENT SHIELDS
President
801-292-8444
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2005-10-24
Last Update Date2008-04-08
Business Address
RUSSELL B SHIELDS MD PC
425 MEDICAL DR STE 108
BOUNTIFUL, UT 84010-4945
Phone number: 801-292-8444
Mailing Address
RUSSELL B SHIELDS MD PC
425 MEDICAL DR STE 108
BOUNTIFUL, UT 84010-4945
Phone number: 801-292-8444
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