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Individual

DR. DAVID ARDIN SHIELDS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
21 PLANK AVE, SUITE 108, PAOLI, PA 19301-1785
(610) 644-6640
(610) 644-6641
Mailing address
21 PLANK AVE, SUITE 108, PAOLI, PA 19301-1785
(610) 644-6640
(610) 644-6641

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002446L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0877346000
KHPE ID
PA
01
P11043237
MULTIPLAN ID
PA
01
P1855983
OXFORD HEALTH PLAN ID
PA
Enumeration date
07/08/2005
Last updated
07/09/2007
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