Individual
DR. LINDA IRENE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10290 N 92ND ST, #101, SCOTTSDALE, AZ 85258-4522
(480) 767-3100
(480) 767-3235
Mailing address
3707 N 7TH ST, SUITE 200, PHOENIX, AZ 85014-5095
(602) 264-9100
(602) 264-9101
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
15396
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120390
GROUP MEDICARE NUMBER
AZ
05
—
279035
—
AZ
01
—
317047
GROUP MEDICAID NUMBER
AZ
Enumeration date
06/05/2006
Last updated
03/13/2014
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