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NPI Code Detail

MEDICARE: DR. LESLIE ANNE FIELDS M.D.

MEDICARE: DR. LESLIE ANNE FIELDS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician2010017182MO
2207R00000XInternal Medicine Physician2010017182MO

General Provider Information

NPI Number : 1821294489
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LESLIE ANNE FIELDS M.D.
Provider Business Mailing Address
First Line : 400 SW LONGVIEW BLVD STE 200
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64081-2116
Country : US
Telephone Number : 816-502-8752
Fax Number : 816-932-9670
Provider Business Practice Location Address
First Line : 400 SW LONGVIEW BLVD STE 200
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64081-2116
Country : US
Telephone Number : 913-215-5008
Fax Number : 913-297-1202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2007
Last Update Date : 03/05/2020

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