Individual
DR. EARLE ROBERT SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6111 MILLER CREEK RD, MISSOULA, MT 59803-9507
(406) 360-9498
Mailing address
6111 MILLER CREEK RD, MISSOULA, MT 59803-9507
(406) 360-9498
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4897
MT
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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