Individual
JACOB FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
44572 W BOWLIN RD, MARICOPA, AZ 85138-4558
(520) 568-2245
Mailing address
44572 W BOWLIN RD, MARICOPA, AZ 85138-4558
(520) 568-2245
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10661
AZ
Other
Enumeration date
12/08/2023
Last updated
09/25/2024
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