Richard Allen Shildt M.D.

NPI 1154428795 - Internal Medicine - 207RH0003X

NPI Details
NPI 1154428795
Gender Male
Enumeration Date 09/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
16017 W WINDSOR AVE
GOODYEAR AZ, 85338-8006, US
Phone (623) 670-3852
Fax
Business Location
16017 W WINDSOR AVE
GOODYEAR AZ, 85338-8006, US
Phone (623) 670-3852
Fax
Toxanomy
Taxonomy Code 207RH0003X
License State Oklahoma
License Number 13485
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According to our database, Richard Allen Shildt M.D. NPI is 1154428795, taxonomy code is 207RH0003X and license number is 13485, license state is located at Oklahoma. Richard Allen Shildt M.D. physically located at 16017 W Windsor Ave, Goodyear AZ, 85338-8006. NPI Number Richard Allen Shildt M.D. has the Individual type.

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1154428795 NPI number is provided on an as is basis without warranty of any kind. 1154428795 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Allen Shildt M.D. are for informational purposes only.