Individual
DR. RYAN COURTNEY FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 FOREST PARK AVE, DIV SURG HPB, 5TH FL, SAINT LOUIS, MO 63108-2114
(314) 362-2280
(888) 352-8360
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-2280
(888) 352-8360
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2004032568
MO
2086X0206X
Surgical Oncology Physician
Primary
2004032568
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208339002
—
MO
Enumeration date
05/30/2005
Last updated
04/17/2025
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