Organization
LARRY S FISHER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY S FISHER (PRESIDENT)
(303) 629-2091
Entity
Organization
Contact information
Practice address
4101 W CONEJOS PL, SUITE 300, DENVER, CO 80204-1377
(303) 629-2091
Mailing address
3464 S WILLOW ST, SUITE 096, DENVER, CO 80231-4531
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04006904
—
CO
Enumeration date
03/14/2007
Last updated
08/22/2020
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