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Individual
DR. DAVID GLEN FIELDER
Active
Individual
DR. DAVID GLEN FIELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2101
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137303001
—
AR
01
—
18569000000
QUALCHOICE
AR
01
—
7045013
AETNA
—
Enumeration date
09/21/2005
Last updated
06/22/2010
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