Organization
THOMAS H FIELDS JR MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS H FIELDS JR. MD (OWNER)
(318) 387-0551
Entity
Organization
Contact information
Practice address
405 ROSELAWN AVE, MONROE, LA 71201-5345
(318) 387-0551
(318) 322-1961
Mailing address
405 ROSELAWN AVE, MONROE, LA 71201-5345
(318) 387-0551
(318) 322-1961
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1068781
—
LA
Enumeration date
04/25/2008
Last updated
04/25/2008
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