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Individual

DR. MYLES FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4200 S DOUGLAS AVE, SUITE 306, OKLAHOMA CITY, OK 73109-3223
(405) 636-7000
Mailing address
1012 SW 140TH ST, OKLAHOMA CITY, OK 73170-4306
(510) 326-6078

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0132R
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0132R
OSBOE
OK
Enumeration date
07/03/2016
Last updated
12/21/2021
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