Individual
DR. LARRY A. FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2330 E HIGH ST, SPRINGFIELD, OH 45505-1371
(937) 324-3937
(937) 324-8943
Mailing address
2330 E HIGH ST, SPRINGFIELD, OH 45505-1371
(937) 324-3937
(937) 324-8943
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-06-2993
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0805749
—
OH
Enumeration date
10/31/2005
Last updated
03/08/2021
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