Individual
BARRY A FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6438 WILMINGTON PIKE, SUITE 100, DAYTON, OH 45459-7010
(937) 885-7362
Mailing address
PO BOX 711808, COLUMBUS, OH 43271-1808
(937) 384-4838
(937) 384-4845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35053972
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
35053972
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0632659
—
OH
01
—
080152611
MEDICARE RR
OH
Enumeration date
08/23/2005
Last updated
02/17/2009
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