Individual
DR. FREDERICK IAN FIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FACS
Contact information
Practice address
301 W POPLAR ST, SUITE 50, WALLA WALLA, WA 99362-2858
(509) 522-5765
(509) 522-5516
Mailing address
PO BOX 34439, SEATTLE, WA 98124-1439
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00027722
WA
2086S0129X
Vascular Surgery Physician
MD00027722
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018692
—
OR
05
—
1235124959
—
WA
Enumeration date
09/19/2005
Last updated
05/18/2021
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