Organization
CHARLES R. SHIELDS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ROBERT SHIELDS MD (PRESIDENT)
(580) 242-1224
Entity
Organization
Contact information
Practice address
330 S 5TH ST, SUITE 305, ENID, OK 73701-5825
(580) 242-1224
(580) 242-1279
Mailing address
330 S 5TH ST, SUITE 305, ENID, OK 73701-5825
(580) 242-1224
(580) 242-1279
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22588
OK
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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