Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A167148 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A167148 | CA |
NPI | 1003201682 |
---|---|
Provider Name | William Paul Shield III |
First Address | Baltimore, MD 21201-1642 |
Second Address | Baltimore, MD 21201-1642 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2015 |
Last Update Date | 10/06/2020 |