Eddie W Shields M.D.

NPI 1003896630 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1003896630
Gender Male
Enumeration Date 01/19/2006
Last Updated 07/17/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
10310 W MARKHAM ST
SUITE 222
LITTLE ROCK AR, 72205-2175, US
Phone (501) 227-5210
Fax (501) 312-1592
Business Location
PO BOX 55090
LITTLE ROCK AR, 72215-5090, US
Phone (501) 227-5210
Fax (501) 312-1592
Toxanomy
Taxonomy Code 207K00000X
License State Arkansas
License Number N-8292
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According to our database, Dr. Eddie W Shields M.D. NPI is 1003896630, taxonomy code is 207K00000X and license number is N-8292, license state is located at Arkansas. Eddie W Shields M.D. physically located at 10310 W Markham St, Little Rock AR, 72205-2175. NPI Number Eddie W Shields M.D. has the Individual type.

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1003896630 NPI number is provided on an as is basis without warranty of any kind. 1003896630 is maintained by the National Plan & Provider Enumeration System. The contents of Eddie W Shields M.D. are for informational purposes only.