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Individual

DR. EDWARD B. FIELDS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH,D,

Contact information

Practice address
OFF HWY 191 HOSPITAL ROAD, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7705
Mailing address
PO DRAWER PH, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7705

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2058
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
697211
AZ
Enumeration date
04/06/2007
Last updated
07/09/2007
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