Individual
DARRELL J FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7903 CROWS NEST COURT, LAUREL, MD 20707
(813) 316-5854
Mailing address
PO BOX 6123, COLUMBIA, MD 21045-6123
(813) 316-5854
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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