Individual
ROBERT IRL FISHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 CASA ST, SUITE C, SAN LUIS OBISPO, CA 93405-1883
(805) 541-1932
(805) 541-1653
Mailing address
DEPT 9697, LOS ANGELES, CA 90084-9697
(949) 721-6520
(949) 721-6120
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A24395
CA
Other
Enumeration date
08/17/2005
Last updated
07/25/2007
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