Provider Demographics
NPI:1275559114
Name:FIELD, SAMUEL B (MD)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:B
Last Name:FIELD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2335 CHURCH ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-2700
Mailing Address - Country:US
Mailing Address - Phone:225-570-2489
Mailing Address - Fax:225-570-2986
Practice Address - Street 1:2335 CHURCH ST
Practice Address - Street 2:SUITE E
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-2700
Practice Address - Country:US
Practice Address - Phone:225-570-2489
Practice Address - Fax:225-570-2986
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2014-12-18
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Provider Licenses
StateLicense IDTaxonomies
LA022852208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAG64620Medicare UPIN