TIMOTHY D SHIELDS

ARDMORE, OK
NPI1851347546
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  r0064541)
Enumeration Date2006-05-25
Last Update Date2009-10-01
Business Address
-- TIMOTHY D SHIELDS CRNA
2412 N COMMERCE ST
ARDMORE, OK 73401-1356
Phone number: 580-226-5000
Mailing Address
-- TIMOTHY D SHIELDS CRNA
PO BOX 5978
ARDMORE, OK 73403-0978
Phone number: 580-226-5000
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