Organization
WILLIAM D FISHCO DPM
Active
Parent organization
WILLIAM D FISHCO DPM
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLIAM D FISHCO DPM
Authorized official
MR. WILLIAM D FISHCO DPM (PRESIDENT)
(602) 993-2700
Entity
Organization
Contact information
Practice address
41818 N VENTURE DR, SUITE 110, ANTHEM, AZ 85086-3188
(602) 993-2700
(602) 993-2705
Mailing address
6036 N 19TH AVE, SUITE 204, PHOENIX, AZ 85015-2106
(602) 933-2700
(602) 993-2705
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC4277
RAILROAD MEDICARE
AZ
Enumeration date
05/16/2008
Last updated
03/10/2009
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