NATHANIEL LOUIS FIELDING

FORT LEONARD WOOD, MO
NPI1922480722
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  1125480)
Enumeration Date2015-06-29
Last Update Date2015-06-29
Business Address
-- NATHANIEL LOUIS FIELDING PA-C
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0035
Mailing Address
-- NATHANIEL LOUIS FIELDING PA-C
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0035