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NPI Code Detail

MEDICARE: DONALD W. FIELDS D.O.

MEDICARE: DONALD W. FIELDS D.O.
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
1208000000XPediatrics PhysicianMTL-2017-069GU
2208000000XPediatrics Physician20A6702CA

General Provider Information

NPI Number : 1932177839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD W. FIELDS D.O.
Provider Business Mailing Address
First Line : 9590 N KEYSTONE CT
Second Line :
City : FRESNO
State : CA
Zip : 93720-0706
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 290 N WAYTE LN
Second Line :
City : FRESNO
State : CA
Zip : 93701-2124
Country : US
Telephone Number : 559-459-4300
Fax Number : 559-459-4569
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 07/03/2017

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