Brandi Fields

NPI #1164072831 in Belleville, Illinois

Provider Information

NPI Number: 1164072831
Entity Type: Individual
Name: Brandi Fields
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist - Prosthetics Case Management
Enumeration Date: Sep 16, 2019
Last Updated: Sep 16, 2019

Practice Location

Address: 6400 W MAIN ST STE 3K
City: Belleville
State: Illinois
ZIP Code: 62223-3806
Phone: (618) 578-3627

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist - Prosthetics Case Management — Prosthetics Case Management	1744P3200X	Primary

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