Individual
DR. STUART FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12922 VICTORY BLVD, ASSUTA FAMILY MEDICAL GROUP APMC, NORTH HOLLYWOOD, CA 91606-2924
(818) 760-2800
(818) 760-7343
Mailing address
12922 VICTORY BLVD, ASSUTA FAMILY MEDICAL GROUP APMC, NORTH HOLLYWOOD, CA 91606-2924
(818) 760-2800
(818) 760-7343
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C30650
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C30650
MEDICAL LICENSE
CA
Enumeration date
06/22/2006
Last updated
12/15/2011
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