Individual
JOHN FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 EDGAR RD, SAINT LOUIS, MO 63119-3227
(314) 246-7715
(314) 963-6092
Mailing address
175 EDGAR RD, SAINT LOUIS, MO 63119-3227
(314) 246-7715
(314) 963-6092
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
111892
MO
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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