Doctor Name: | ROBERT FIELD |
NPI Number: | 1578901385 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 133939 |
Business Practice Address: | Mawts-1 Medical, Mcas Box 99117 Yuma, AZ - 85365 |
Business Phone Number: | 9282695341 |
Business Fax Number: | |
Mailing Address: | 12172 E Via Loma Vis Unit 17, YUMA |
State: | AZ |
Postal Code: | 853677326 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/13/2013 |
NPI Last Update Date: | 05/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 133939 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |