NPI 1013088921

Andrew Jackson Shields

Practitioner Other Technician Kodiak, AZ

Practice location

Address: Building N46 Cape Sarichef, Kodiak, AZ 99619
Phone: (907) 487-5757
Fax: (907) 487-5360

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Arizona →

Registry record

NPI: 1013088921
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.