Individual
MR. DUSTIN S FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CST/CSFA
Contact information
Practice address
5904 W 100TH TER, OVERLAND PARK, KS 66207-3032
(913) 205-5735
Mailing address
5904 W 100TH TER, OVERLAND PARK, KS 66207-3032
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
116077
KS
Other
Enumeration date
10/15/2007
Last updated
03/19/2018
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