Russell B Shields MD PC
Russell B Shields MD PC is a Family Medicine Physician in Bountiful, Utah. Registered with an NPI since 2005.
- In the registry since
- 2005
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
425 Medical Dr Ste 108Bountiful, UT 84010-4945
Phone: (801) 292-8444
Fax: (801) 292-8476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1477543213 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Russell Shields — President · (801) 292-8444 |
| NPI enumerated | October 24, 2005 |
| Last updated in NPPES | April 8, 2008 |
| Mailing address | 425 Medical Dr, Ste 108, Bountiful, UT 84010-4945 |
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