Individual
JACOB FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
205 S ACADEMY RD, GUTHRIE, OK 73044-8727
(405) 282-9449
(405) 282-9403
Mailing address
205 S ACADEMY RD, GUTHRIE, OK 73044-8727
(405) 282-9449
(405) 282-9403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6163
OK
Other
Enumeration date
04/19/2016
Last updated
10/18/2019
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