Individual
DR. ANASTASIA SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2141-1 DINE DRIVE, FORT DEFIANCE, AZ 86504-0097
(267) 303-8314
Mailing address
PO BOX 97, FORT DEFIANCE, AZ 86504-0097
(267) 303-8314
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RP438566
PA
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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