Search › Utah › 207R00000X
Russell Shields, MD
NPI 1568451730 · on the registry since 2005 · sole proprietor
Practice
- Address
- 425 N Medical Dr
Ste 108
Bountiful, UT 84010 - Phone
- (801) 292-8444
- Fax
- (801) 292-8476
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah