Individual
MR. LANCE STEVEN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5702 W CAMPBELL AVE, PHOENIX, AZ 85031
(623) 848-5000
Mailing address
13512 W READE AVE, LITCHFIELD PARK, AZ 85340-4019
(623) 535-4372
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11450
MN
207P00000X
Emergency Medicine Physician
Primary
2412
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3981220
EVERCARE GROUP
AZ
01
—
453051001
GROUP HEALTH GROUP
AZ
05
—
538192
—
AZ
01
—
860373636
HUMANA GROUP
AZ
01
—
AW1436
HEALTHNET GROUP
AZ
Enumeration date
12/06/2005
Last updated
01/29/2016
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