Individual
DR. W. JUD FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
821 N NELLIS BLVD, LAS VEGAS, NV 89110-5339
(702) 438-4003
(702) 438-0555
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 507-2419
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
475
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285659193
—
NV
01
—
P00853500
RAILROAD MEDICARE
NV
Enumeration date
07/12/2006
Last updated
01/26/2012
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