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Individual

DANIEL D FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 WEST 7TH STREET, SUITE 6, BRISTOW, OK 74010
(918) 367-4443
(918) 367-9190
Mailing address
700 WEST 7TH STREET, SUITE 6, BRISTOW, OK 74010
(918) 367-4443
(913) 367-9190

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18055
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100217590D
OK
Enumeration date
12/11/2006
Last updated
10/03/2013
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