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Individual

DR. JAMES R FISHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
9100 N 2ND ST STE 201, PHOENIX, AZ 85020
(602) 242-1556
(602) 242-1597
Mailing address
9100 N 2ND ST STE 201, PHOENIX, AZ 85020-2450
(602) 242-1556
(602) 242-1597

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
21166
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
130873
AHCCCS NUMBER
AZ
01
21166
AZ LICENSE
AZ
01
MICA-00855
MICA
AZ
Enumeration date
02/03/2006
Last updated
03/07/2023
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