CHARLES JEFFREY SHIELDS

PROVIDENCE, UT
NPI1679681167
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: UT  9379328-1204)
Enumeration Date2006-08-26
Last Update Date2026-06-17
Business Address
CHARLES JEFFREY SHIELDS DO
560 W 465 N STE 604
PROVIDENCE, UT 84332-8006
Phone number: 435-753-1600
Mailing Address
CHARLES JEFFREY SHIELDS DO
560 W 465 N STE 604
PROVIDENCE, UT 84332-8006
Phone number: 435-753-1600
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