Individual
PHILIP FLINT FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
804-1/2 SOLIDA RD., SOUTH POINT, OH 45680
(304) 736-2981
(304) 736-2985
Mailing address
3554 US RT 60 EAST, BARBOURSVILLE, WV 25504
(304) 736-2981
(304) 736-2985
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
WV1480
WV
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
WV1480
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706518
BLUE CROSS BLUE SHIELD
—
01
—
5922061
AETNA
—
01
—
7728465001
CIGNA
—
01
—
FI0786325
PTAN
WV
Enumeration date
01/12/2006
Last updated
11/21/2011
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