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DR. STEPHEN WYATT SHIELD M.D.

Allergy and Immunology

Williamsburg, Virginia

Provider NPI: 1073590071

Provider Information:
DR. STEPHEN WYATT SHIELD M.D.


Practice Location:
1144 PROFESSIONAL DR  WILLIAMSBURG, VA 23185 US
Tel: 757-259-0443  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
VA0101049643

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM250532VA01
MAMSI271568VA01
SOUTHERN HEALTH84330VA01
MEDICARE PTAN00Y225A01VA01
1073590071VA05
SENTERA17424VA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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