Individual
EVAN FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5524 S VENTURA DR, OKLAHOMA CITY, OK 73135-5416
(405) 882-3091
Mailing address
5524 S VENTURA DR, OKLAHOMA CITY, OK 73135-5416
(405) 882-3091
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
S083717136
OK
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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