Individual
FIELDING C SAULS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 W MAPLE AVE, SUITE 201, ENID, OK 73701-3863
(580) 237-3608
(580) 237-3608
Mailing address
901 W MAPLE AVE, SUITE 201, ENID, OK 73701-3863
(580) 237-3608
(580) 237-3608
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22288
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100083640A
—
OK
01
—
73-1612933
TAX ID
OK
Enumeration date
10/26/2006
Last updated
12/18/2019
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