IndividualActive
Russell Shields, MD
NPI 1568451730 · Internal Medicine Physician · Bountiful, UT
Russell Shields, MD is a Internal Medicine Physician provider in Bountiful, UT (NPI 1568451730).
Provider details
- NPI number
- 1568451730
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1551991205 (UT)
Practice location
425 N Medical Dr
Ste 108
Bountiful, UT 84010
Phone: (801) 292-8444
Fax: (801) 292-8476
Street-level locationGet directions
Mailing address
425 N Medical Dr
Bountiful, UT 84010
Registry dates
- Enumerated
- 2005-10-19
- Last updated
- 2008-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.