Individual
DR. MARK A. FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3524 NW 56TH ST, OKLAHOMA CITY, OK 73112-4518
(405) 751-6440
(405) 563-9368
Mailing address
PO BOX 20730, OKLAHOMA CITY, OK 73156-0730
(405) 751-6440
(405) 563-9368
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
19624
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100214350A
—
OK
01
—
73-1614843
WATERSTONE BENEFIT
—
Enumeration date
10/02/2006
Last updated
10/22/2021
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