Individual
ROBERT FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4076 NEELY RD, BASSETT ARMY COMMUNITY HOSPITAL INTERNAL MED CLINIC, FORT WAINWRIGHT, AK 99703
(907) 361-4179
Mailing address
4076 NEELY RD, BASSETT ARMY COMMUNITY HOSPITAL INTERNAL MED CLINIC, FORT WAINWRIGHT, AK 99703
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
215428
TX
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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