Individual
DR. LARRY DANIEL FIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
(601) 914-1861
Mailing address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
(601) 914-1861
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12112
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113626
—
MS
01
—
200017977
MEDICARE RR
MS
Enumeration date
10/11/2005
Last updated
11/17/2011
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