Provider Demographics
NPI:1972695229
Name:FIELDS, PATRICIA LESLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:LESLEY
Last Name:FIELDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:L
Other - Last Name:FIELDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:30 SUNSET CIR
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336-5725
Mailing Address - Country:US
Mailing Address - Phone:928-204-2312
Mailing Address - Fax:928-204-2312
Practice Address - Street 1:30 SUNSET CIR
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-5725
Practice Address - Country:US
Practice Address - Phone:928-204-2312
Practice Address - Fax:928-204-2312
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG137962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB50907Medicare UPIN