Individual
DR. DAVID GLEN FIELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 SIDNEY ST, STE 300, BATESVILLE, AR 72501-7203
(870) 793-1126
(870) 793-1180
Mailing address
1215 SIDNEY ST, SUITE 300, BATESVILLE, AR 72501-7203
(870) 793-1126
(870) 793-1180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2101
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137303001
—
AR
01
—
18569000000
QUALCHOICE
AR
01
—
7045013
AETNA
—
Enumeration date
09/21/2005
Last updated
06/22/2010
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