Individual
DR. SCOTT LAMAR SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
524 N VAN BUREN, ENID, OK 73703-4455
(580) 237-3338
(580) 237-3399
Mailing address
524 N VAN BUREN, ENID, OK 73703-4455
(580) 237-3338
(580) 237-3399
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
189
OK
213E00000X
Podiatrist
368
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100779730A
—
OK
01
—
1754470500
DEPT. OF LABOR
OK
01
—
7315168723701A001
TRICARE
—
Enumeration date
12/02/2005
Last updated
01/31/2008
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