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Individual

DR. MATTHEW S FIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01082047A
IN
208600000X
Surgery Physician
58300
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001275096
ANTHEM BCBS
01
01082047
INDIANA STATE LICENSE
IN
05
201237350
IN
01
58300
KENTUCKY STATE LICENSE
KY
05
7100598100
KY
05
XXXXX7068-1
IL
Enumeration date
05/06/2014
Last updated
03/06/2024
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