Individual
DR. JACK MARK FIELDS
Active
Individual
DR. JACK MARK FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00045508
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0207711
LNI-SOUTH SOUND RADIOLOGY
WA
01
—
0384204
LNI-RADIA
WA
05
—
1043717
—
WA
05
—
8450157
—
WA
Enumeration date
03/08/2006
Last updated
12/30/2025
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