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Individual
DR. JERRY FISHER
Active
Individual
DR. JERRY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10276
WA
208D00000X
General Practice Physician
Primary
10276
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185791
DEPT OF LABOR & INDUSTRIE
WA
05
—
8303000
—
WA
01
—
MD10276
WA STATE CRIME VICTIMS
WA
Enumeration date
06/17/2005
Last updated
12/21/2009
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