Individual
MARK THOMAS FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD STE 140, KANSAS CITY, MO 64108-4619
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
2017014405
MO
Other
Enumeration date
03/20/2013
Last updated
05/21/2019
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