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Individual
DR. RYAN DAVID FISHER
Active
Individual
DR. RYAN DAVID FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-14682
ID
207P00000X
Emergency Medicine Physician
MD192553
OR
390200000X
Student in an Organized Health Care Education/Training Program
MSM-0256
ID
Other
Enumeration date
05/03/2016
Last updated
08/02/2019
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