Organization
SHIELDS PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E SHIELDS DPM (MEMBER)
(571) 315-8842
Entity
Organization
Contact information
Practice address
705 MOBJACK PL, STE B, NEWPORT NEWS, VA 23606-1966
(757) 873-2101
(757) 873-2118
Mailing address
705 MOBJACK PL, STE B, NEWPORT NEWS, VA 23606-1966
(757) 873-2101
(757) 873-2118
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1150
TX
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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