RUSSELL BRENT SHIELDS

BOUNTIFUL, UT
NPI1568451730
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: UT  1551991205)
Enumeration Date2005-10-19
Last Update Date2008-01-21
Business Address
-- RUSSELL BRENT SHIELDS MD
425 N MEDICAL DR STE 108
BOUNTIFUL, UT 84010
Phone number: 801-292-8444
Mailing Address
-- RUSSELL BRENT SHIELDS MD
425 N MEDICAL DR STE 108
BOUNTIFUL, UT 84010
Phone number: 801-292-8444