Individual
DR. RYAN DAVID FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-14682
ID
207P00000X
Emergency Medicine Physician
MD192553
OR
390200000X
Student in an Organized Health Care Education/Training Program
MSM-0256
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/03/2016
Last updated
08/02/2019
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