Individual
RICHARD ALLEN SHILDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 207-3390
(623) 932-8592
Mailing address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 207-3390
(623) 932-8592
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
13485
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100209440B
—
OK
Enumeration date
09/17/2006
Last updated
04/05/2016
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