Individual
LEVI DANIEL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4076 NEELY RD., FORT WAINWRIGHT, AK 99703
(719) 440-6166
Mailing address
4076 NEELY ROAD, FORT WAINWRIGHT, AK 99703
(907) 361-6028
(907) 361-4847
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6781
TN
Other
Enumeration date
02/26/2025
Last updated
11/26/2025
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