Individual
JUSTIN ELLIOT FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 N PORTER, SUITE 300, NORMAN, OK 73071-6400
(405) 329-0121
(405) 292-6099
Mailing address
1515 N HARVARD AVE, STE E, TULSA, OK 74115-4957
(918) 832-6049
(918) 832-6055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25774
OK
208000000X
Pediatrics Physician
25774
OK
Other
Enumeration date
06/27/2007
Last updated
02/05/2016
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