# JACK E FISHER DPM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gavilan Foot Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780794644
- **Authorized official:** JACK FISHER DPM (OWNER/PHYSICIAN)
- **Authorized official phone:** (408) 842-0281

## Contact information

- **Practice address:** 80 5TH ST, GILROY, CA 95020-5702
- **Practice address phone:** (408) 842-0281
- **Practice address fax:** (408) 848-4341
- **Mailing address:** 80 5TH ST, GILROY, CA 95020-5702
- **Mailing address phone:** (408) 842-0281
- **Mailing address fax:** (408) 848-4341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E1702 | CA | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/27/2014