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Individual
JOSHUA FISH
Active
Individual
JOSHUA FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
2017031727
MO
207Q00000X
Family Medicine Physician
2016020823
MO
207Q00000X
Family Medicine Physician
Primary
2017031727
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2016
Last updated
03/05/2024
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