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Individual

PHILIP C FISHER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-6666
(570) 882-4379
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-6666
(570) 882-4379

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD023512E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CC9269
RR MEDICARE GROUP
PA
01
GU040042
MEDICARE GROUP
PA
Enumeration date
11/30/2005
Last updated
03/28/2008
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