Individual
BETHANY KATHERINE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1 MEDICAL CENTER DRIVE, CLARKSBURG, WV 26301
(304) 623-3461
Mailing address
115 HERITAGE LN, MANNINGTON, WV 26582-6478
(304) 672-2011
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
351
WV
Other
Enumeration date
05/18/2007
Last updated
05/17/2018
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