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Individual
DR. DAVID H. FISHER JR.
Active
Individual
DR. DAVID H. FISHER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1069-201T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1920223
—
LA
01
—
2482B
BCBS PROVIDER #
LA
01
—
5013447
AETNA
—
Enumeration date
06/14/2006
Last updated
07/09/2008
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