Individual
DAVID SCOTT FISCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6400 PASEO DEL NORTE BLVD NE, ALBUQUERQUE, NM 87113-8711
(505) 596-2100
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-4621
(505) 923-5362
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2020-0670
NM
390200000X
Student in an Organized Health Care Education/Training Program
123063996
NM
Other
Enumeration date
03/28/2017
Last updated
07/29/2020
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