Healthcare Provider Details

I. General information

NPI: 1356390991
Provider Name (Legal Business Name): JOHN M FEILD DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 11/18/2020
Certification Date: 09/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 N 8TH ST STE 206
GRAND JUNCTION CO
81501-8858
US

IV. Provider business mailing address

2530 N 8TH ST STE 206
GRAND JUNCTION CO
81501-8858
US

V. Phone/Fax

Practice location:
  • Phone: 970-245-3338
  • Fax: 970-245-9499
Mailing address:
  • Phone: 970-245-3338
  • Fax: 970-245-9499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberCO355
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: