Individual
DR. JANN SHIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1024 N SAN FRANCISCO ST, SUITE 105, FLAGSTAFF, AZ 86001-3266
(928) 779-0341
(928) 774-4994
Mailing address
1024 N SAN FRANCISCO ST, SUITE 105, FLAGSTAFF, AZ 86001-3266
(928) 779-0341
(928) 774-4994
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
22985
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86-0559827
TAX ID #
—
Enumeration date
07/19/2006
Last updated
07/08/2007
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