Provider Demographics
NPI:1598790834
Name:FIELD, DAVID ROSS (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ROSS
Last Name:FIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 60649
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93386-0649
Mailing Address - Country:US
Mailing Address - Phone:661-873-8517
Mailing Address - Fax:661-873-8519
Practice Address - Street 1:2601 OSWELL ST
Practice Address - Street 2:SUITE 101
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-3156
Practice Address - Country:US
Practice Address - Phone:661-872-9999
Practice Address - Fax:661-872-1915
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG689882083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF08738Medicare UPIN