Individual
DR. LARRY E. FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 DICKISON RD, WESTTOWN, NY 10998-2912
(540) 226-8371
(845) 726-9964
Mailing address
5 DICKISON RD, WESTTOWN, NY 10998-2912
(540) 226-8371
(845) 726-9964
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R9B05
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9B05
STATE LICENSE
MO
Enumeration date
06/06/2007
Last updated
03/07/2023
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