Andrew Jackson Shields

NPI #1013088921 in Kodiak, Arizona

Provider Information

NPI Number
1013088921
Entity Type
Individual
Name
Andrew Jackson Shields
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Enumeration Date
Nov 13, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
BUILDING N46 CAPE SARICHEF
City
Kodiak
State
Arizona
ZIP Code
99619
Phone
(907) 487-5757

Specialties & Taxonomy Codes

Specialty
Technician, Other

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