Individual
TRAVIS FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10238 E HAMPTON AVE STE 508, MESA, AZ 85209-3321
(480) 834-7546
(480) 833-8313
Mailing address
1855 N STAPLEY DR, MESA, AZ 85203-3002
(480) 834-7546
(480) 833-8313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
96244
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201538
—
AZ
05
—
L6372
—
NM
Enumeration date
10/03/2006
Last updated
02/23/2021
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