Individual
DR. ROSS ANDREW SHIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
932 E 34TH ST, JOPLIN, MO 64804-3932
(417) 347-1111
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-1111
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2016034947
MO
2085R0001X
Radiation Oncology Physician
37277
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263649
—
AZ
Enumeration date
07/20/2007
Last updated
10/11/2016
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