Individual
MR. PAUL JOSEPH FISHER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
7160 RAFAEL RIVERA WAY STE 210, LAS VEGAS, NV 89113-5395
(702) 878-0070
(702) 805-0307
Mailing address
PO BOX 840857, DALLAS, TX 75284-0857
(725) 204-4632
(702) 805-0307
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
AA 152
FL
367H00000X
Anesthesiologist Assistant
Primary
AA05
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008302100
—
FL
Enumeration date
12/14/2012
Last updated
08/26/2024
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