Individual
DR. MARY V FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1626 N LITCHFIELD RD STE 110, GOODYEAR, AZ 85395-1399
(602) 955-1000
(602) 508-4830
Mailing address
4800 N 22ND ST, PHOENIX, AZ 85016-4701
(602) 955-1000
(602) 508-4830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0808
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0808
STATE LICENSE
AZ
Enumeration date
09/20/2005
Last updated
03/20/2015
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