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Individual

MR. DAVID HOWARD FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4405
(209) 576-3971
Mailing address
10013 TEPOPA DR, OAKDALE, CA 95361-9288
(209) 847-0757

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA12121
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CD069A
PTAN
CA
Enumeration date
12/26/2006
Last updated
01/18/2012
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