Individual
DR. IAN T. FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5801 E 41ST ST STE 900, TULSA, OK 74135-5631
(918) 747-4975
(918) 743-8552
Mailing address
PO BOX 4930, TULSA, OK 74159-0930
(918) 747-4975
(918) 743-8552
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
35-08-8648
OH
2085R0202X
Diagnostic Radiology Physician
Primary
29348
OK
2085R0202X
Diagnostic Radiology Physician
MD61628906
WA
2085R0202X
Diagnostic Radiology Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200453780A
—
OK
Enumeration date
09/27/2006
Last updated
12/18/2024
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