Individual
DR. JOHN FISHER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 S MAIN ST, JONESBORO, AR 72401-3503
(870) 932-1820
Mailing address
PO BOX 1533, JONESBORO, AR 72403-1533
(870) 932-1820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-12114
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271039001
—
AR
Enumeration date
05/01/2017
Last updated
08/18/2021
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