Jordan Fields

NPI 1043517345 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1043517345
Gender Male
Enumeration Date 02/22/2011
Last Updated 03/27/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
2200 BERQUIST DR. STE 1
LACKLAND AFB
SAN ANTONIO TX, 78236-9908, US
Phone (314) 956-9412
Fax
Business Location
3764 MARION AVE
MEMPHIS TN, 38111-6746, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
Remove 1043517345 NPI Number
 

According to our database, Mr. Jordan Fields NPI is 1043517345, taxonomy code is 390200000X Jordan Fields physically located at 2200 Berquist Dr. Ste 1, San Antonio TX, 78236-9908. NPI Number Jordan Fields has the Individual type.

Sponsored links

1043517345 NPI number is provided on an as is basis without warranty of any kind. 1043517345 is maintained by the National Plan & Provider Enumeration System. The contents of Jordan Fields are for informational purposes only.