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Individual
ANDREW FISHER
Active
Individual
ANDREW FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12515932-1204
UT
207L00000X
Anesthesiology Physician
DO192390
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500764166
—
OR
Enumeration date
04/29/2015
Last updated
01/25/2022
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