Individual
SAMANTHA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2071 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 857-2700
(618) 857-2699
Mailing address
2071 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 857-2700
(618) 857-2699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
03/30/2020
Last updated
12/18/2025
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