Individual
RANDALL W FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N 16TH ST, NEW CASTLE, IN 47362-4319
(765) 521-1135
Mailing address
PO BOX 66468, INDIANAPOLIS, IN 46266-6468
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01025572A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083925
ANTHEM
IN
Enumeration date
02/05/2007
Last updated
10/04/2007
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