Most Relevant Information
Provider Data
| NPI Number: | 1265435226 |
| Provider Name: | MARC DOUGLAS SHIELDS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207W00000X |
| Specialty: | Ophthalmology |
| License Number: | 0101236216 |
Most Important Dates
| Enumeration Date: | 05/24/2005 |
| Last Updated: | 07/08/2020 |
Provider Practice Location
1500 COMMERCE RD
STAUNTON
VA
244019032
Practice Location Phone/Fax
| Phone: | 5402137720 |
| Fax: | 5402139441 |
Provider Mailing Location
17 N MEDICAL PARK DR
FISHERSVILLE
VA
229392344
Provider Mailing Phone/Fax
| Phone: | 5402137720 |
| Fax: | 5402137728 |