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Individual

CARY ARDIS FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7301 N COMANCHE AVE, SUITE B, WARR ACRES, OK 73132-6636
(405) 728-2100
(405) 728-2244
Mailing address
7301 N COMANCHE AVE, SUITE B, WARR ACRES, OK 73132-6636
(405) 728-2100
(405) 728-2244

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17279
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100085570A
OK
Enumeration date
11/15/2005
Last updated
08/18/2011
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