Individual
DR. MARK ALLEN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
634 W PINON ST, FARMINGTON, NM 87401-5915
(505) 325-4898
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MA68626
NJ
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2007-0662
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12986062
—
NM
Enumeration date
06/21/2006
Last updated
11/14/2024
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