Individual
DR. WILLIAM K SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2914 S ALDER ST, TACOMA, WA 98409-4819
(253) 272-9245
(253) 272-9413
Mailing address
2914 S ALDER ST, TACOMA, WA 98409-4819
(253) 272-9245
(253) 272-9413
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00025898
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1160159
—
WA
01
—
1254972
FIRST HEALTH
WA
01
—
157762
LABOR & INDUSTRIES
WA
01
—
3403351
CIGNA
WA
01
—
4078693
AETNA
WA
01
—
AMIWAS326B
MOLINA
WA
Enumeration date
11/09/2006
Last updated
11/29/2007
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