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Organization

PETER FISCHL, MD, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER FISCHL (PRESIDENT)
(760) 242-0762
Entity
Organization

Contact information

Practice address
16130 KOKANEE RD, STE 104, APPLE VALLEY, CA 92307-0833
(760) 242-0762
(760) 242-1803
Mailing address
16130 KOKANEE RD, STE 104, APPLE VALLEY, CA 92307-0833
(760) 242-0762
(760) 242-1803

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A33580
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A335801
CA
Enumeration date
07/09/2008
Last updated
03/09/2009
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