Individual
MARY ALLISON FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1123 E BROADWAY BLVD, SEDALIA, MO 65301-6103
(660) 826-2797
(660) 826-2365
Mailing address
1123 E BROADWAY BLVD, SEDALIA, MO 65301-6103
(660) 826-2797
(660) 826-2365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R5C49
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107921
HEALTHLINK
—
01
—
13753027
BLUECROSS
MO
01
—
15322
ALLIANCE
—
01
—
C52251
MERCY HEALTH PLANS
—
Enumeration date
11/15/2006
Last updated
07/08/2007
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