Individual
JASON MATTHEW FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 PLEASANT ROW NW, HUNTSVILLE, AL 35816-2537
(256) 533-6311
(256) 536-0801
Mailing address
PO BOX 18488, HUNTSVILLE, AL 35804-8488
(256) 534-8659
(256) 533-0276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101259223
VA
207Q00000X
Family Medicine Physician
010691498A
IN
207Q00000X
Family Medicine Physician
Primary
19748
AL
Other
Enumeration date
07/14/2006
Last updated
03/17/2018
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