Individual
DR. BRIAN FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
601 BUSINESS LOOP 70 WEST, SUITE 216C, COLUMBIA, MO 65203
(573) 214-2314
(573) 442-5208
Mailing address
1001 W WORLEY ST, FAMILY DENTAL CENTER, COLUMBIA, MO 65203-2037
(573) 214-2314
(573) 442-5208
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2004014733
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073502266
NATIONAL PROVIDER IDENTIF
MO
Enumeration date
10/19/2005
Last updated
07/08/2007
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