Individual
DR. BRUCE J FISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9695 S YOSEMITE ST, SUITE 285, LONE TREE, CO 80124-2888
(303) 799-8760
(303) 799-8767
Mailing address
130 RAMPART WAY, 300-B, DENVER, CO 80230-6440
(303) 327-4700
(303) 327-4711
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
31254
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01312545
—
CO
01
—
C462628
MEDICARE PTAN
CO
Enumeration date
11/14/2005
Last updated
04/17/2015
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