Individual
CHARLES ROBERT SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
10/05/2005
Last updated
07/09/2007
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