Individual
JEFFREY R FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5601 W EUGIE AVE, STE 210, GLENDALE, AZ 85304-1255
(602) 843-1313
(602) 843-0191
Mailing address
5601 W EUGIE AVE, STE 210, GLENDALE, AZ 85304-1255
(602) 843-1313
(602) 843-0191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8753
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1424DB9
FIRST HEALTH
—
01
—
1Z7303
HEALTHNET
—
01
—
2374456004
CIGNA 200
—
01
—
2374456005
CIGNA 210
—
01
—
5043793
CCN
—
01
—
676950
AETNA
—
01
—
860923905
HUMANA PPO
—
01
—
AZ824310
BCBS
—
Enumeration date
08/10/2005
Last updated
01/06/2010
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