Individual
DR. TED J FISH
Active
Individual
DR. TED J FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
N6731
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100177890A
—
OK
05
—
106458001
—
AR
01
—
122040000
QUALCHOICE
AR
01
—
1670493
UNITED HEALTHCARE
AR
05
—
204813208
—
MO
01
—
4574734
AETNA
AR
01
—
A012
CHAMPUS
AR
01
—
N6731
STATE LICENSE
AR
Enumeration date
04/17/2006
Last updated
03/07/2023
Update your record
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