Individual
BRIAN PATRICK SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2083
(757) 594-2196
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102203628
VA
207P00000X
Emergency Medicine Physician
NC-2012-00587
NC
Other
Enumeration date
04/24/2008
Last updated
12/18/2013
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