Individual
WILLIAM FISHCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
41818 N VENTURE DR # D, SUITE 110, ANTHEM, AZ 85086-3188
(623) 551-5000
(602) 993-2705
Mailing address
41818 N VENTURE DR, STE 110, PHOENIX, AZ 85086-3189
(623) 551-5000
(623) 551-1418
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0486
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z5742
HEALTH NET
AZ
05
—
418625
—
AZ
01
—
480033453
RR MEDICARE
AZ
01
—
AZ0194160
BCBS
AZ
Enumeration date
09/29/2005
Last updated
02/05/2026
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