Individual
LINDA S FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-6003
(573) 884-5410
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2003009746
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111238/177928
BLUE SHIELD/BLUE CHOICE
ME
01
—
550179
HEALTHLINK
MO
Enumeration date
05/30/2006
Last updated
12/27/2007
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