Provider Demographics
NPI:1790280469
Name:FIELDS, DAVID WAYNE (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:WAYNE
Last Name:FIELDS
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:9524 W CAMELBACK RD STE C130
Mailing Address - Street 2:PMB 388
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85305-3112
Mailing Address - Country:US
Mailing Address - Phone:602-263-7600
Mailing Address - Fax:602-212-0365
Practice Address - Street 1:10930 N TATUM BLVD STE 103
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-6069
Practice Address - Country:US
Practice Address - Phone:602-263-7600
Practice Address - Fax:602-212-0365
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2025-07-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ77361208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)