Provider Demographics
NPI:1952364010
Name:LITTLEFIELD, JAMES L (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:LITTLEFIELD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:11475 OLDE CABIN RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7128
Mailing Address - Country:US
Mailing Address - Phone:314-991-8200
Mailing Address - Fax:314-991-8206
Practice Address - Street 1:615 S NEW BALLAS RD
Practice Address - Street 2:NUCLEAR MEDICINE DEPT
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8221
Practice Address - Country:US
Practice Address - Phone:314-251-6465
Practice Address - Fax:314-251-4286
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2009-09-04
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Provider Licenses
StateLicense IDTaxonomies
MOR4D03207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO201967411Medicaid
MO201967411Medicaid
A12427Medicare UPIN
MO029010769Medicare PIN