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Individual

ANDREW FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
(503) 225-9002
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
(801) 432-2600
(503) 225-9002

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12515932-1204
UT
207L00000X
Anesthesiology Physician
DO192390
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500764166
OR
Enumeration date
04/29/2015
Last updated
01/25/2022
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