BART RANDALL SHIELDS

URBANA, IL
NPI1740479989
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209003210)
Enumeration Date2007-10-23
Last Update Date2025-09-04
Business Address
-- BART RANDALL SHIELDS CRNA
611 W PARK ST
URBANA, IL 61801-2501
Phone number: 217-838-3311
Mailing Address
-- BART RANDALL SHIELDS CRNA
611 W PARK ST FAPC
URBANA, IL 61801-2501
Phone number: 217-838-3311
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